Vert Physical Therapy la LP

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

VERT PHYSICAL THERAPY LA LP

Practice address

18420 Hart St
Reseda, CA 91335-4317

Phone

(818) 344-8378

NPI assigned

Apr 8, 2013

Organization subpart

No

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

Authorized official

Name

Kevin Theis

Title

Partner

Phone

(818) 344-8378

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1851734057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12021 WILSHIRE BLVD",
            "address_2": "STE 187",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251206",
            "telephone_number": "310-264-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18420 HART ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354317",
            "telephone_number": "818-344-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERT PHYSICAL THERAPY LA LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-08",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "THEIS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "818-344-8378"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "PT24176",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Reseda, CA
• Providers in Reseda, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.