Organization Active NPI

FPTC Management Inc.

Doing business as Function Physical Therapy

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1780820787
Registry record updated Mar 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT26723 Issued in CA
Legal business name
FPTC MANAGEMENT INC.
Doing business as
Function Physical Therapy
Practice address
12011 San Vicente Blvd
Suite B-5
Los Angeles, CA 90049-4926
Phone
(310) 476-3600
NPI assigned
Dec 22, 2008
Last updated
Mar 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2020

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

Authorized official

Name
Mr. Jonathan Casler, MPTNPI 1265520316
Title
Ceo/Owner/Physical Therapist
Phone
(310) 476-3600

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
Physical Therapist 225100000X PT26723 CA Primary

Addresses

Primary practice location

12011 San Vicente Blvd
Suite B-5
Los Angeles, CA 90049-4926

Mailing address

12011 San Vicente Blvd
Suite B-5
Los Angeles, CA 90049-4926
Phone (310) 476-3600

Other names 1

  • Function 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
O20090714000122 CA Part B Supplier - Clinic/Group Practice 7618029265 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

12011 San Vicente Blvd
Ste B5
Los Angeles, CA 90049
Phone (310) 476-3600

Practitioners & affiliated clinicians

Practitioners 5

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": "1229904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583625600000",
    "number": "1780820787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12011 SAN VICENTE BLVD",
            "address_2": "SUITE B-5",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494926",
            "telephone_number": "310-476-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 SAN VICENTE BLVD",
            "address_2": "SUITE B-5",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494926",
            "telephone_number": "310-476-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FPTC MANAGEMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-22",
        "last_updated": "2020-03-08",
        "certification_date": "2020-03-08",
        "status": "A",
        "authorized_official_last_name": "CASLER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CEO/OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "310-476-3600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT26723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Function Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 8, 2020; 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.