Organization Active NPI

Fabrizio Physical Therapy and Sports Medicine, Inc

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1770650277
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
17758 Issued in CA
Legal business name
FABRIZIO PHYSICAL THERAPY AND SPORTS MEDICINE, INC
Practice address
10309 Santa Monica Blvd Ste 200
Los Angeles, CA 90025-5007
Phone
(310) 553-5984
Fax
(310) 553-5986
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
David Michael Fabrizio, PT, OCSNPI 1326166554
Title
Owner/Director
Phone
(310) 553-5984

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 17758 CA Primary

Addresses

Primary practice location

10309 Santa Monica Blvd Ste 200
Los Angeles, CA 90025-5007

Mailing address

10309 Santa Monica Blvd Ste 200
Los Angeles, CA 90025-5007
Phone (310) 553-5984

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071025000633 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1456448273 Receives reassigned benefits from 7 practitioners
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

10309 Santa Monica Blvd
Ste 200
Los Angeles, CA 90025
Phone (310) 408-5886

120 N Robertson Blvd
Los Angeles, CA 90048
Phone (310) 854-5949

13351 Riverside Dr
Ste 657
Sherman Oaks, CA 91423

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1770650277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10309 SANTA MONICA BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255007",
            "telephone_number": "310-553-5984",
            "fax_number": "310-553-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10309 SANTA MONICA BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255007",
            "telephone_number": "310-553-5984",
            "fax_number": "310-553-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FABRIZIO PHYSICAL THERAPY AND SPORTS MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "FABRIZIO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "310-553-5984",
        "authorized_official_credential": "PT, OCS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "17758",
            "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 Dec 15, 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.