NPIMap

Organization Active NPI

Two Trees Physical Therapy & Wellness Inc

Doing business as Two Trees Physical Therapy

  • Physical Therapist
  • Ventura, CA
National Provider Identifier
1770830325
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 34923 Issued in CA
Legal business name
TWO TREES PHYSICAL THERAPY & WELLNESS INC
Doing business as
Two Trees Physical Therapy
Practice address
3418 Loma Vista Rd
Ste a
Ventura, CA 93003-3016
Phone
(805) 765-4773
Fax
(805) 258-7039
NPI assigned
Aug 13, 2012
Last updated
Dec 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Bobby Ismail
Title
President
Phone
(209) 353-1988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 34923 CA Primary

Addresses

Primary practice location

3418 Loma Vista Rd
Ste a
Ventura, CA 93003-3016

Mailing address

3418 Loma Vista Rd
Ste a
Ventura, CA 93003-3016
Phone (805) 765-4773

Other names 1

  • Two Trees Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121026000251 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5597915603 Receives reassigned benefits from 102 practitioners
Practice locations: Camarillo, CA; Ventura, CA; Simi Valley, CA; Santa Paula, CA; Oxnard, CA; Newbury Park, CA; Los Angeles, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

177 N Reino Rd
Newbury Park, CA 91320
Phone (805) 586-0290

2260 Tapo St
Ste B117
Simi Valley, CA 93063

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 111

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.

View all 111

NPI Registry JSON

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1770830325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3418 LOMA VISTA RD",
            "address_2": "STE A",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033016",
            "telephone_number": "805-765-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 LOMA VISTA RD",
            "address_2": "STE A",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033016",
            "telephone_number": "805-765-4773",
            "fax_number": "805-258-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO TREES PHYSICAL THERAPY & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-353-1988"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 34923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Two Trees Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Two Trees Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.