Organization Active NPI

Niles Physical Therapy Inc

  • Physical Therapist
  • Studio City, CA
National Provider Identifier
1730307760
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5239 Issued in CA
Legal business name
NILES PHYSICAL THERAPY INC
Practice address
3959 Laurel Canyon Blvd
Suite L
Studio City, CA 91604-4921
Phone
(818) 395-3953
NPI assigned
Apr 23, 2007
Last updated
Dec 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Gail B Niles, P.T.NPI 1790995801
Title
President
Phone
(818) 395-3953

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 PT5239 CA Primary

Addresses

Primary practice location

3959 Laurel Canyon Blvd
Suite L
Studio City, CA 91604-4921

Mailing address

3940 Laurel Canyon Blvd # 254
Studio City, CA 91604-3709
Phone (818) 395-3953

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090515000461 CA Part B Supplier - Clinic/Group Practice 5294884516 Receives reassigned benefits from 1 practitioner
Practice locations: Studio City, CA

National Provider Directory

National Provider Directory

Locations

3959 Laurel Canyon Blvd
Ste L
Studio City, CA 91604
Phone (818) 395-3953

Practitioners & affiliated clinicians

Practitioners 1

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": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1730307760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 LAUREL CANYON BLVD # 254",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916043709",
            "telephone_number": "818-395-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 LAUREL CANYON BLVD",
            "address_2": "SUITE L",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916044921",
            "telephone_number": "818-395-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILES PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "NILES",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-395-3953",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT5239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.