Organization Active NPI

Udea Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Westlake Village, CA
National Provider Identifier
1801624085
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
UDEA PHYSICAL THERAPY INC
Practice address
4035 E Thousand Oaks Blvd Ste 255
Westlake Village, CA 91362-3633
Phone
(323) 481-9085
NPI assigned
Jul 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Natalya Tronik, PT, DPTNPI 1205581907
Title
Physical Therapist
Phone
(323) 481-9085

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

4035 E Thousand Oaks Blvd Ste 255
Westlake Village, CA 91362-3633

Mailing address

931 Evenstar Ave
Westlake Village, CA 91361-2012
Phone (323) 481-9085

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240924002099 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3476094913 Receives reassigned benefits from 3 practitioners
Practice locations: Westlake Village, CA

National Provider Directory

National Provider Directory

Locations

4035 E Thousand Oaks Blvd
Ste 255
Westlake Village, CA 91362
Phone (323) 481-9085

Practitioners & affiliated clinicians

Practitioners 3

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": "1721606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1801624085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 EVENSTAR AVE",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612012",
            "telephone_number": "323-481-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 E THOUSAND OAKS BLVD STE 255",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623633",
            "telephone_number": "323-481-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UDEA PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-20",
        "status": "A",
        "authorized_official_last_name": "TRONIK",
        "authorized_official_first_name": "NATALYA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "323-481-9085",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.