Organization Active NPI

North Valley Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Granada Hills, CA
National Provider Identifier
1679910822
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT13354 Issued in CA
Legal business name
NORTH VALLEY PHYSICAL THERAPY INC
Practice address
11858 1/2 Balboa Blvd
Granada Hills, CA 91344-2762
Phone
(818) 217-4868
Fax
(818) 368-6000
NPI assigned
May 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Authorized official

Name
Carla Jeanne Kazimir, PTNPI 1639247596
Title
Physical Therapist
Phone
(818) 217-4868

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 PT13354 CA Primary

Addresses

Primary practice location

11858 1/2 Balboa Blvd
Granada Hills, CA 91344-2762

Mailing address

11858 1/2 Balboa Blvd
Granada Hills, CA 91344-2762
Phone (818) 217-4868

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130803000124 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4486895406 Receives reassigned benefits from 5 practitioners
Practice locations: Granada Hills, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1369785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1679910822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11858 1/2 BALBOA BLVD",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913442762",
            "telephone_number": "818-217-4868",
            "fax_number": "818-368-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11858 1/2 BALBOA BLVD",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913442762",
            "telephone_number": "818-217-4868",
            "fax_number": "818-368-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH VALLEY PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "KAZIMIR",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "818-217-4868",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT13354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.