Isaac Takeuchi Wanlass, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

37269 Issued in CA

Practice address

15477 Ventura Blvd
200
Sherman Oaks, CA 91403-3006

Phone

(310) 539-8800

Fax

(818) 986-2146

NPI assigned

Jan 12, 2011

Last updated

Aug 29, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Isaac Wanlass Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Marymount University, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Im Physical Therapy IncGroup PAC ID 4486066834, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Im Physical Therapy Inc

  dba Functional Physical Therapy and rehabilitation

  • Orthopedic Physical Therapist
  • Pasadena, CA
  • NPI 1407458631
  Medicare reassignment Care Compare group NPD
• Independent Physical Therapy Inc

  • Physical Therapist
  • Hermosa Beach, CA
  • NPI 1356426902
  NPD (past)
• Independent Physical Therapy Inc

  • Physical Therapist
  • Encino, CA
  • NPI 1467725283
  NPD (past)

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1710282421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3244 SEPULVEDA BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052719",
            "telephone_number": "310-539-8800",
            "fax_number": "310-698-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15477 VENTURA BLVD",
            "address_2": "200",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033006",
            "telephone_number": "310-539-8800",
            "fax_number": "818-986-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKEUCHI WANLASS",
        "first_name": "ISAAC",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-12",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "37269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISAAC",
            "last_name": "WANLASS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Narissa Taengthai
• Deva Taffel, PSY.D.
• Parastoo Taghinia, DAOM
• Venette Tagoc
• Lucy Danielle Taillieu, PSYD
• Tala Eftekhari Dental Corporation
• Christopher Talavera
• Desiree Talavera
• Anahita Talebi, BS
• Claire Talle

• Physical Therapist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.