Active NPI
Physical Therapy & Sport Injury Rehabilitation Center of Encino
- Physical Therapist
- Encino, CA
National Provider Identifier
1780808550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT10218
- Legal business name
- PHYSICAL THERAPY & SPORT INJURY REHABILITATION CENTER OF ENCINO
- Practice address
- 16311 Ventura Blvd
Suite 955
Encino, CA 91436-2124 - Phone
- (818) 789-4465
- Fax
- (818) 789-0279
- NPI assigned
- Apr 12, 2007
- 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
- Shirley F Sarchad, RPT
- Title
- Physical Therapist
- Phone
- (818) 789-4465
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT10218 | CA | Primary |
Addresses
Primary practice location
16311 Ventura Blvd
Suite 955
Encino, CA 91436-2124
Mailing address
16311 Ventura Blvd
Suite 955
Encino, CA 91436-2124
Phone (818) 789-4465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164547741 | Other | CA | INDIVIDUAL NPI NUMBER |
National Provider Directory
National Provider DirectoryLocations
16311 Ventura Blvd
Ste 955
Encino, CA 91436
Phone (818) 650-2000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401840000000",
"number": "1780808550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16311 VENTURA BLVD",
"address_2": "SUITE 955",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362124",
"telephone_number": "818-789-4465",
"fax_number": "818-789-0279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16311 VENTURA BLVD",
"address_2": "SUITE 955",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362124",
"telephone_number": "818-789-4465",
"fax_number": "818-789-0279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICAL THERAPY & SPORT INJURY REHABILITATION CENTER OF ENCINO",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-12",
"last_updated": "2014-06-04",
"status": "A",
"authorized_official_last_name": "SARCHAD",
"authorized_official_first_name": "SHIRLEY",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "818-789-4465",
"authorized_official_credential": "RPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT10218",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI NUMBER",
"identifier": "1164547741",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.