Organization Active NPI

Arsenal Orthopaedic and Sport Physical Therapy, Inc

  • Orthopedic Physical Therapist
  • Thousand Oaks, CA
National Provider Identifier
1760148514
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
ARSENAL ORTHOPAEDIC AND SPORT PHYSICAL THERAPY, INC
Practice address
1090 Lawrence Dr Ste 101
Thousand Oaks, CA 91320-1315
Phone
(805) 402-2949
NPI assigned
Nov 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Authorized official

Name
Justin Brouhard, DPT
Title
President, Treasurer, Secretary
Phone
(805) 402-2949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

1090 Lawrence Dr Ste 101
Thousand Oaks, CA 91320-1315

Mailing address

13195 Knotty Pine St
Moorpark, CA 93021-2161
Phone (805) 402-2949

Other practice location 1

21060 Centre Pointe Pkwy
Santa Clarita, CA 91350-2976
Phone (805) 402-2949

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1760148514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13195 KNOTTY PINE ST",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930212161",
            "telephone_number": "805-402-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 LAWRENCE DR STE 101",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913201315",
            "telephone_number": "805-402-2949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21060 Centre Pointe Pkwy",
            "address_purpose": "LOCATION",
            "city": "Santa Clarita",
            "state": "CA",
            "postal_code": "913502976",
            "country_code": "US",
            "telephone_number": "805-402-2949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARSENAL ORTHOPAEDIC AND SPORT PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "BROUHARD",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT, TREASURER, SECRETARY",
        "authorized_official_telephone_number": "805-402-2949",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.