NPIMap

Organization Active NPI

Water PT Specialists Inc

  • Sports Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1801025572
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
PT25373 Issued in CA
Legal business name
WATER PT SPECIALISTS INC
Practice address
8015 S Sepulveda Blvd
Los Angeles, CA 90045-2940
Phone
(310) 991-7751
Fax
(310) 881-1219
NPI assigned
Jul 2, 2009
Last updated
Sep 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

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

Authorized official

Name
Jessica Semmel
Title
Owner
Phone
(310) 991-7751

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT25373 CA
Sports Physical Therapist 2251S0007X PT25373 CA Primary

Addresses

Primary practice location

8015 S Sepulveda Blvd
Los Angeles, CA 90045-2940

Mailing address

PO Box 1249
Redondo Beach, CA 90278-0249
Phone (310) 991-7751

Other identifiers 1

IdentifierTypeStateIssuer
PT25373OtherCACA LICENCE

National Provider Directory

National Provider Directory

Locations

4500 Sepulveda Blvd
Culver City, CA 90230
Phone (310) 845-9690

6520 Platt Ave
Ste 459
West Hills, CA 91307

Practitioners & affiliated clinicians

Practitioners 6

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": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568332800000",
    "number": "1801025572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1249",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902780249",
            "telephone_number": "310-991-7751",
            "fax_number": "310-881-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 S SEPULVEDA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900452940",
            "telephone_number": "310-991-7751",
            "fax_number": "310-881-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATER PT SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2019-09-13",
        "status": "A",
        "authorized_official_last_name": "SEMMEL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-991-7751"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT25373",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "PT25373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENCE",
            "identifier": "PT25373",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 13, 2019; 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.