NPIMap

Organization Active NPI

Physical Therapy West

  • Physical Therapy Clinic/Center
  • Lancaster, CA
National Provider Identifier
1801235759
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHYSICAL THERAPY WEST
Practice address
44303 Lowtree Ave
Lancaster, CA 93534-4149
Phone
(661) 940-5494
Fax
(661) 940-0825
NPI assigned
Jun 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Authorized official

Name
Dr. Yaron Peters, DPTNPI 1679827083
Title
Owner/Director
Phone
(818) 257-2572

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

44303 Lowtree Ave
Lancaster, CA 93534-4149

Mailing address

21781 Ventura Blvd
#438
Woodland Hills, CA 91364-1835
Phone (818) 257-2572

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131111000997 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7719113224 Receives reassigned benefits from 8 practitioners
Practice locations: Lancaster, CA; Woodland Hills, CA

National Provider Directory

National Provider Directory

Locations

22554 Ventura Blvd
Ste 112
Woodland Hills, CA 91364
Phone (818) 222-1128

Practitioners & affiliated clinicians

Practitioners 10

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": "1372032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1801235759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21781 VENTURA BLVD",
            "address_2": "#438",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641835",
            "telephone_number": "818-257-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44303 LOWTREE AVE",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344149",
            "telephone_number": "661-940-5494",
            "fax_number": "661-940-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY WEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-24",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "YARON",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "818-257-2572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.