Organization Active NPI

Vmax Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1821675547
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
VMAX PHYSICAL THERAPY INC
Practice address
1480 Colorado Blvd Ste 130
Los Angeles, CA 90041-2373
Phone
(401) 447-3151
NPI assigned
Mar 27, 2021
Last updated
Jan 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Authorized official

Name
Hermine Dolarian, MSPTNPI 1366514713
Title
Ceo
Phone
(401) 447-3151

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

1480 Colorado Blvd Ste 130
Los Angeles, CA 90041-2373

Mailing address

1480 Colorado Blvd Ste 130
Los Angeles, CA 90041-2373
Phone (401) 447-3151

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220408001874 CA Part B Supplier - Clinic/Group Practice 9335535897 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

1480 Colorado Blvd
Ste 130
Los Angeles, CA 90041
Phone (323) 739-6101

Practitioners & affiliated clinicians

Practitioners 1

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": "1616803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1821675547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 COLORADO BLVD STE 130",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900412373",
            "telephone_number": "401-447-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 COLORADO BLVD STE 130",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900412373",
            "telephone_number": "401-447-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VMAX PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-27",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "DOLARIAN",
        "authorized_official_first_name": "HERMINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "401-447-3151",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 26, 2022; 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.