Organization Active NPI

Ams Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Valley Village, CA
National Provider Identifier
1609006832
Registry record updated Oct 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT 32334 Issued in CA
Legal business name
AMS PHYSICAL THERAPY, INC
Practice address
12626 Riverside Dr
Suite 509
Valley Village, CA 91607-3420
Phone
(818) 986-9229
Fax
(818) 986-9339
NPI assigned
Jul 22, 2009
Last updated
Oct 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2013

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

Authorized official

Name
Alexandra Stein, P.T.NPI 1033359302
Title
Ceo
Phone
(818) 648-3328

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT 32334 CA Primary

Addresses

Primary practice location

12626 Riverside Dr
Suite 509
Valley Village, CA 91607-3420

Mailing address

12626 Riverside Dr
Suite 509
Valley Village, CA 91607-3420
Phone (818) 986-9229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090925000588 CA Part B Supplier - Clinic/Group Practice 8123174570 Receives reassigned benefits from 1 practitioner
Practice locations: Valley Village, CA

National Provider Directory

National Provider Directory

Locations

12626 Riverside Dr
Ste 509
Valley Village, CA 91607
Phone (323) 287-0252

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382313600000",
    "number": "1609006832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12626 RIVERSIDE DR",
            "address_2": "SUITE 509",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073420",
            "telephone_number": "818-986-9229",
            "fax_number": "818-986-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12626 RIVERSIDE DR",
            "address_2": "SUITE 509",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073420",
            "telephone_number": "818-986-9229",
            "fax_number": "818-986-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMS PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2013-10-21",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-648-3328",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT 32334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.