Organization Active NPI

Trellis Physical Therapy a Professional Rehab Group Inc.

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1730245838
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TRELLIS PHYSICAL THERAPY A PROFESSIONAL REHAB GROUP INC.
Practice address
1501 Rising Glen Rd
Los Angeles, CA 90069-1225
Phone
(310) 592-8284
NPI assigned
Dec 31, 2006
Last updated
Apr 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Authorized official

Name
Nora G. ShamsiNPI 1659437754
Title
President and Ceo
Phone
(310) 592-8284

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 Therapist 225100000X NU Primary

Addresses

Primary practice location

1501 Rising Glen Rd
Los Angeles, CA 90069-1225

Mailing address

PO Box 492418
Los Angeles, CA 90049-8418
Phone (310) 592-8284

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050621001292 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0648215525 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

8500 Wilshire Blvd
Ste 615
Beverly Hills, CA 90211
Phone (310) 652-0092

6363 Wilshire Blvd
Ste 204
Los Angeles, CA 90048

8717 W Olympic Blvd
Los Angeles, CA 90035
Phone (310) 659-4301

8755 W Olympic Blvd
Los Angeles, CA 90035
Phone (310) 652-5606

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1730245838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 492418",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900498418",
            "telephone_number": "310-592-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 RISING GLEN RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900691225",
            "telephone_number": "310-592-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRELLIS PHYSICAL THERAPY A PROFESSIONAL REHAB GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-31",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "SHAMSI",
        "authorized_official_first_name": "NORA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "310-592-8284"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.