Active NPI
Meraki Performance Physical Therapy, Inc.
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1760345201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MERAKI PERFORMANCE PHYSICAL THERAPY, INC.
- Practice address
- 1109 N El Centro Ave
Los Angeles, CA 90038-2805 - Phone
- (626) 975-6690
- NPI assigned
- Dec 3, 2025
- Last updated
- Oct 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Duong, DPT
- Title
- President
- Phone
- (626) 975-6690
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1109 N El Centro Ave
Los Angeles, CA 90038-2805
Mailing address
5550 Hollywood Blvd Apt 432
Los Angeles, CA 90028-9602
National Provider Directory
National Provider DirectoryLocations
1109 N El Centro Ave
Los Angeles, CA 90038
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": "1764720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791763200000",
"number": "1760345201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5550 HOLLYWOOD BLVD APT 432",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900289602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 N EL CENTRO AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900382805",
"telephone_number": "626-975-6690"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERAKI PERFORMANCE PHYSICAL THERAPY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-03",
"last_updated": "2026-10-12",
"certification_date": "2026-10-12",
"status": "A",
"authorized_official_last_name": "DUONG",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-975-6690",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"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 Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.