NPIMap

Organization Active NPI

Fusion Aquatic Physical Therapy Inc

  • Physical Therapist
  • Van Nuys, CA
National Provider Identifier
1780943902
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FUSION AQUATIC PHYSICAL THERAPY INC
Practice address
6901 Lennox Ave
Van Nuys, CA 91405-4002
Phone
(310) 230-7400
Fax
(310) 230-7440
NPI assigned
May 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Authorized official

Name
Jamie M Baden PallisterNPI 1851534952
Title
Ceo
Phone
(818) 783-3296

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 TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

6901 Lennox Ave
Van Nuys, CA 91405-4002

Mailing address

PO Box 5018
West Hills, CA 91308-5018
Phone (310) 230-7400

National Provider Directory

National Provider Directory

Locations

6901 Lennox Ave
Van Nuys, CA 91405
Phone (818) 343-2073

Practitioners & affiliated clinicians

Practitioners 2

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": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1780943902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5018",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913085018",
            "telephone_number": "310-230-7400",
            "fax_number": "310-230-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 LENNOX AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054002",
            "telephone_number": "310-230-7400",
            "fax_number": "310-230-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSION AQUATIC PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "BADEN PALLISTER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-783-3296"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.