Organization Active NPI

Physical Therapy & Sport Injury Rehabilitation Center of Encino

  • Physical Therapist
  • Encino, CA
National Provider Identifier
1780808550
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT10218 Issued in CA
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

Updated by the provider on Jun 4, 2014

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1164547741OtherCAINDIVIDUAL NPI NUMBER

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.