Organization Active NPI

Creative Arts Physical Therapy, Inc.

  • Physical Therapist
  • West Hollywood, CA
National Provider Identifier
1790937456
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT14633 Issued in CA
Legal business name
CREATIVE ARTS PHYSICAL THERAPY, INC.
Practice address
1106 N la Cienega Blvd Ste 203
West Hollywood, CA 90069-2493
Phone
(310) 659-1077
Fax
(310) 659-1163
NPI assigned
Oct 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Authorized official

Name
Melinda Bryan, PT, DPTNPI 1114090016
Title
Owner, Ceo
Phone
(310) 659-1077

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: 193200000X MULTI-SPECIALTY GROUP 225100000X PT14633 CA Primary

Addresses

Primary practice location

1106 N la Cienega Blvd Ste 203
West Hollywood, CA 90069-2493

Mailing address

1106 N la Cienega Blvd Ste 203
West Hollywood, CA 90069-2493
Phone (310) 659-1077

Other practice location 1

20914 Nordhoff St Ste 102
Chatsworth, CA 91311-5935
Phone (310) 659-1077

Other practice location 2

955 Carrillo Dr Ste 103
Los Angeles, CA 90048-5400
Phone (310) 659-1077

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090807000501 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2062565088 Receives reassigned benefits from 4 practitioners
Practice locations: West Hollywood, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1790937456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 N LA CIENEGA BLVD STE 203",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900692493",
            "telephone_number": "310-659-1077",
            "fax_number": "310-659-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 N LA CIENEGA BLVD STE 203",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900692493",
            "telephone_number": "310-659-1077",
            "fax_number": "310-659-1163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20914 Nordhoff St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Chatsworth",
            "state": "CA",
            "postal_code": "913115935",
            "country_code": "US",
            "telephone_number": "310-659-1077",
            "fax_number": "310-659-1163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "955 Carrillo Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900485400",
            "country_code": "US",
            "telephone_number": "310-659-1077",
            "fax_number": "310-659-1163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CREATIVE ARTS PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "310-659-1077",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT14633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.