NPIMap

Organization Active NPI

Lurie Physical Therapy PC

Doing business as Balance & Vestibular Center Physical Therapy

  • Physical Therapy Clinic/Center
  • Encino, CA
National Provider Identifier
1639443690
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
37259 Issued in CA
Legal business name
LURIE PHYSICAL THERAPY PC
Doing business as
Balance & Vestibular Center Physical Therapy
Practice address
17071 Ventura Blvd
Suite 103
Encino, CA 91316-4130
Phone
(206) 250-3415
NPI assigned
Mar 8, 2012
Last updated
Sep 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Dr. Joshua D Lurie, DPTNPI 1780990978
Title
Ceo
Phone
(818) 232-4884

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 37259 CA Primary

Addresses

Primary practice location

17071 Ventura Blvd
Suite 103
Encino, CA 91316-4130

Mailing address

29139 Fountainwood St
Agoura Hills, CA 91301-1664
Phone (206) 250-3415

Other identifiers 1

IdentifierTypeStateIssuer
GG413AOtherCAMEDICARE PTAN

Other names 1

  • Balance & Vestibular Center Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120718000452 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2769648815 Receives reassigned benefits from 23 practitioners
Practice locations: Encino, CA; Northridge, CA; West Hills, CA

National Provider Directory

National Provider Directory

Locations

17071 Ventura Blvd
Ste 103
Encino, CA 91316
Phone (818) 232-4884

8974 Tampa Ave
Northridge, CA 91324
Phone (818) 213-2241

7320 Woodlake Ave
Ste 200
West Hills, CA 91307
Phone (818) 381-5959

Practitioners & affiliated clinicians

Practitioners 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1639443690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29139 FOUNTAINWOOD ST",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913011664",
            "telephone_number": "206-250-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17071 VENTURA BLVD",
            "address_2": "SUITE 103",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164130",
            "telephone_number": "206-250-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LURIE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "LURIE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-232-4884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "37259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "GG413A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balance & Vestibular Center Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Balance & Vestibular Center Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.