Organization Active NPI

At Home Physical Therapy

Doing business as n/a

  • Home Health Agency
  • Ventura, CA
National Provider Identifier
1871538058
Registry record updated Mar 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
9225 Issued in CA
Legal business name
AT HOME PHYSICAL THERAPY
Doing business as
n/a
Practice address
5564 Murrieta St
Ventura, CA 93003-4241
Phone
(805) 889-8795
Fax
(805) 650-1707
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2009

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

Authorized official

Name
Maxine Ann Balsom-Laturner, PT
Title
Owner
Phone
(805) 889-8795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 9225 CA Primary

Addresses

Primary practice location

5564 Murrieta St
Ventura, CA 93003-4241

Mailing address

5564 Murrieta St
Ventura, CA 93003-4241
Phone (805) 889-8795

Other identifiers 1

IdentifierTypeStateIssuer
PT 9225OtherCAMEDICARE INDIVIDUAL INDENTIFICATION

Other names 1

  • n/a Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235865600000",
    "number": "1871538058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5564 MURRIETA ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930034241",
            "telephone_number": "805-889-8795",
            "fax_number": "805-650-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5564 MURRIETA ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930034241",
            "telephone_number": "805-889-8795",
            "fax_number": "805-650-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2009-03-01",
        "status": "A",
        "authorized_official_last_name": "BALSOM-LATURNER",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-889-8795",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "9225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL INDENTIFICATION",
            "identifier": "PT 9225",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2009; 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.