Active NPI
At Home Physical Therapy
Doing business as n/a
- Home Health Agency
- Ventura, CA
National Provider Identifier
1871538058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 9225
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT 9225 | Other | CA | MEDICARE INDIVIDUAL INDENTIFICATION |
Other names 1
- n/a
National Provider Directory
National Provider DirectoryNPI 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.