La Orthopedic and Pediatric Physical Therapy

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

LA ORTHOPEDIC AND PEDIATRIC PHYSICAL THERAPY

Practice address

16055 Ventura Blvd Ste 825
Encino, CA 91436-2617

Phone

(323) 680-5616

Fax

(323) 935-5933

NPI assigned

Feb 22, 2019

Organization subpart

No

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

Authorized official

Name

Joshua Mazalian, DPT, OCSNPI 1396024378

Title

Cfo/Owner

Phone

(818) 747-4189

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua A Mazalian, PT

  • Orthopedic Physical Therapist
  • Canoga Park, CA
  • NPI 1396024378
  Medicare reassignment Care Compare group Authorized official
• Jay Isaac Steven Semel, DPT

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1215459342
  Medicare reassignment Care Compare group
• Bonnie G Reich, PH.D.

  • Clinical Psychologist
  • Ventura, CA
  • NPI 1063674273
  NPD (past)

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1649737982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16055 VENTURA BLVD STE 825",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362617",
            "telephone_number": "323-680-5616",
            "fax_number": "323-935-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16055 VENTURA BLVD STE 825",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362617",
            "telephone_number": "323-680-5616",
            "fax_number": "323-935-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA ORTHOPEDIC AND PEDIATRIC PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "MAZALIAN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CFO/OWNER",
        "authorized_official_telephone_number": "818-747-4189",
        "authorized_official_credential": "DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ji Hae Kwon Hwang
• Aibek Kyzykty
• L & N Home Care Inc.
• L a Surgery-Colorectal Surgery Inc
• La Hand & Wrist Medical Associates, Inc
• La Palma Open MRI
• La Pediatric Feeding and Speech Therapy Inc
• La Weight Loss Corp
• Skylar Labrie, RD,MS
• Jennifer Ann Lafleur, LMFT

• Pediatric Physical Therapist in Encino, CA
• Providers in Encino, CA by specialty
• Pediatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.