Active NPI
N-Care Physical Therapy Inc
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1609976158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT27774
- Legal business name
- N-CARE PHYSICAL THERAPY INC
- Practice address
- 8905 Venice Blvd Ste 106
Los Angeles, CA 90034-3340 - Phone
- (424) 298-8005
- Fax
- (877) 408-2776
- NPI assigned
- Sep 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tomas Ermias Abraham, RPT
- Title
- President
- Phone
- (424) 298-8005
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT27774 | CA | Primary |
Addresses
Primary practice location
8905 Venice Blvd Ste 106
Los Angeles, CA 90034-3340
Mailing address
10021 Tabor Street
Unit 215
Los Angeles, CA 90034
Phone (877) 400-0084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
15243 Vanowen St
Ste 107
Van Nuys, CA 91405
Phone (818) 787-8473
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Los Angeles, CA
- NPI 1023119278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583280000000",
"number": "1609976158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10021 TABOR STREET",
"address_2": "UNIT 215",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90034",
"telephone_number": "877-400-0084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8905 VENICE BLVD STE 106",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900343340",
"telephone_number": "424-298-8005",
"fax_number": "877-408-2776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "N-CARE PHYSICAL THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-25",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A",
"authorized_official_last_name": "ABRAHAM",
"authorized_official_first_name": "TOMAS",
"authorized_official_middle_name": "ERMIAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "424-298-8005",
"authorized_official_credential": "RPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT27774",
"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 Mar 4, 2020; 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.