NPIMap

Organization Active NPI

Orthopedic and Physical Therapy Specialists LLC

  • Physical Therapy Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1629393178
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT 27160 Issued in CA
Legal business name
ORTHOPEDIC AND PHYSICAL THERAPY SPECIALISTS LLC
Practice address
6399 Wilshire Blvd Ste 500
Los Angeles, CA 90048-5708
Phone
(323) 588-7600
Fax
(323) 315-5159
NPI assigned
Mar 27, 2010
Last updated
Jul 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Authorized official

Name
Mr. Matthew StodolskyNPI 1699788091
Title
Owner
Phone
(323) 588-7600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT 27160 CA Primary

Addresses

Primary practice location

6399 Wilshire Blvd Ste 500
Los Angeles, CA 90048-5708

Mailing address

6399 Wilshire Blvd Ste 500
Los Angeles, CA 90048-5708
Phone (323) 588-7600

National Provider Directory

National Provider Directory

Locations

6399 Wilshire Blvd
Ste 500
Los Angeles, CA 90048
Phone (323) 588-7600

Practitioners & affiliated clinicians

Practitioners 3

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": "1269648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1629393178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6399 WILSHIRE BLVD STE 500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485708",
            "telephone_number": "323-588-7600",
            "fax_number": "323-315-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6399 WILSHIRE BLVD STE 500",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485708",
            "telephone_number": "323-588-7600",
            "fax_number": "323-315-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC AND PHYSICAL THERAPY SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-27",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "STODOLSKY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-588-7600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT 27160",
            "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 Jul 26, 2010; 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.