Physical Therapy & Sports Medicine

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PHYSICAL THERAPY & SPORTS MEDICINE

Practice address

19932 Ventura Blvd.
Woodland Hills, CA 91364

Phone

(804) 356-4540

NPI assigned

Jan 17, 2025

Organization subpart

No

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

Authorized official

Name

Soheila Ebadian

Title

Office Manager

Phone

(804) 356-4540

Specialties & licenses 1

Addresses

Other names 1

• Physical Therapy & Sports Medicine, PC Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Tourage Rafeei, PHD, PT, OCS

  • Physical Therapist
  • Glen Allen, VA
  • NPI 1134214604

  CA

  Medicare reassignment NPD

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1689485666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18517 MARBELLA LANE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "91356",
            "telephone_number": "804-356-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19932 VENTURA BLVD.",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "91364",
            "telephone_number": "804-356-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "EBADIAN",
        "authorized_official_first_name": "SOHEILA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "804-356-4540"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy & Sports Medicine, PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jacqueline F Phillips, NP
• Stephon Phillips
• Troy Phipps, PHARM.D.
• Xavier Emry Phipps
• Phoenix Diagnostic Medical Group, Inc.
• Physicians Consulting Resources Co
• Physicians Favorite Home Health
• Iwona Piekos, PT
• Labrietta Pierce, RADT
• Gernica Pierre- Alabre

• Physical Therapy Clinic/Center in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.