Organization Active NPI

Sanwall Corporation

Doing business as Burnwall Physical Therapy

  • Physical Therapist
  • Oxnard, CA
National Provider Identifier
1851417042
Registry record updated Oct 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29223 Issued in CA
Legal business name
SANWALL CORPORATION
Doing business as
Burnwall Physical Therapy
Practice address
1700 Lombard St
#310
Oxnard, CA 93030-8211
Phone
(805) 604-1211
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2008

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

Authorized official

Name
Roberta Walski
Title
Owner
Phone
(805) 604-1211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT29223 CA Primary

Addresses

Primary practice location

1700 Lombard St
#310
Oxnard, CA 93030-8211

Mailing address

1751 Lombard St
Suite a
Oxnard, CA 93030-8266
Phone (805) 604-1211

Other names 1

  • Burnwall Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

12127 Magnolia Blvd
North Hollywood, CA 91607
Phone (818) 763-7801

11135 Magnolia Blvd
Ste 130
North Hollywood, CA 91601
Phone (818) 763-7801

880 Hampshire Rd
Ste E
Thousand Oaks, CA 91361
Phone (805) 374-9164

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225065600000",
    "number": "1851417042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 LOMBARD ST",
            "address_2": "SUITE A",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930308266",
            "telephone_number": "805-604-1211",
            "fax_number": "805-604-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 LOMBARD ST",
            "address_2": "#310",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930308211",
            "telephone_number": "805-604-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANWALL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-10-27",
        "status": "A",
        "authorized_official_last_name": "WALSKI",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-604-1211"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burnwall Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; 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.