La Main Physical Therapy Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT27208 Issued in CA

Legal business name

LA MAIN PHYSICAL THERAPY INC

Practice address

260 S Beverly Dr
Suite 210
Beverly Hills, CA 90212-3833

Phone

(310) 273-7660

Fax

(310) 273-7661

NPI assigned

May 10, 2013

Last updated

Apr 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Fabrice Gautier, RPTNPI 1629131602

Title

Owner

Phone

(310) 273-7660

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fabrice M Gautier, RPT

  • Physical Therapist
  • Beverly Hills, CA
  • NPI 1629131602
  Authorized official Same address or phone

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1598101065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 S BEVERLY DR",
            "address_2": "SUITE 210",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123833",
            "telephone_number": "310-273-7660",
            "fax_number": "310-273-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S BEVERLY DR",
            "address_2": "SUITE 210",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123833",
            "telephone_number": "310-273-7660",
            "fax_number": "310-273-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA MAIN PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-10",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "GAUTIER",
        "authorized_official_first_name": "FABRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-273-7660",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT27208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• La Ivf Lab LLC.
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• La Pain and Performance
• La Peer Pediatrics
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• Syd Paratestes La Van
• Lab DPT 2 (The LAB Doctors of Physical Therapy)

• Physical Therapy Clinic/Center in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.