Organization Active NPI

Life Energy Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1588943104
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
35464 Issued in CA
Legal business name
LIFE ENERGY PHYSICAL THERAPY, INC.
Practice address
1917 Hillhurst Ave Ste 201
Los Angeles, CA 90027-2711
Phone
(323) 680-5378
Fax
(323) 657-5378
NPI assigned
Aug 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Elizabeth Dovlatyan, DPT
Title
President
Phone
(323) 680-5378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 35464 CA Primary

Addresses

Primary practice location

1917 Hillhurst Ave Ste 201
Los Angeles, CA 90027-2711

Mailing address

15149 Sylvan St
Van Nuys, CA 91411-1918
Phone (323) 680-5378

Other practice location 1

11755 Victory Blvd Ste 250
North Hollywood, CA 91606-3481
Phone (323) 680-5378

Other practice location 2

1915 Broadview Dr
Glendale, CA 91208-1201
Phone (323) 680-5378

Other practice location 3

3217 N Verdugo Rd Ste 1
Glendale, CA 91208-1676
Phone (323) 680-5378

National Provider Directory

National Provider Directory

Locations

3217 N Verdugo Rd
Ste 1
Glendale, CA 91208
Phone (818) 337-4448

1917 Hillhurst Ave
Ste 201
Los Angeles, CA 90027
Phone (323) 666-1554

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1588943104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15149 SYLVAN ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111918",
            "telephone_number": "323-680-5378",
            "fax_number": "323-657-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 HILLHURST AVE STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900272711",
            "telephone_number": "323-680-5378",
            "fax_number": "323-657-5378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11755 Victory Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "North Hollywood",
            "state": "CA",
            "postal_code": "916063481",
            "country_code": "US",
            "telephone_number": "323-680-5378",
            "fax_number": "323-657-5378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1915 Broadview Dr",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912081201",
            "country_code": "US",
            "telephone_number": "323-680-5378",
            "fax_number": "323-657-5378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3217 N Verdugo Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912081676",
            "country_code": "US",
            "telephone_number": "323-680-5378",
            "fax_number": "323-657-5378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE ENERGY PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-12",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "DOVLATYAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-680-5378",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "35464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.