Raziel Elohima-Rizzo Brisbane, DPT

Individual provider Active NPI Physical Therapy Clinic/Center · Los Altos, CA

NPI 1699461582 · NPPES record last updated Apr 13, 2023

Key facts

NPI
1699461582
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Clinic/Center 261QP2000X
License
300019 (CA)
Practice address
240 2ND St
Los Altos, CA 94022-3603
Phone
(650) 941-7600
NPI assigned
Apr 13, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Evolution Physical Therapy, Inc Current
since Jul 1, 2023
Accepting new patients
Next Phase Medical PC Physical Therapy Current
since Sep 28, 2025
Accepting new patients

Locations

11825 Major St
Ste 107
Los Angeles, CA 90230
Phone (310) 915-6100

322 Culver Blvd
Playa del Rey, CA 90293
Phone (310) 461-8712

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 300019 CA Yes

Addresses

Primary practice location

240 2ND St
Los Altos, CA 94022-3603

Mailing address

1317 S Mayfair Ave
Daly City, CA 94015-3738

Other providers in Los Altos, CA

All providers in Los Altos, CA · Physical Therapy Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.