Organization Active NPI

N-Care Physical Therapy Inc

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1609976158
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT27774 Issued in CA
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

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
Tomas Ermias Abraham, RPTNPI 1023119278
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20091113000366 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3072651975 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA; Van Nuys, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.