NPIMap

Organization Active NPI

LB Physical Therapy Inc.

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1902006943
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20435 Issued in CA
Legal business name
LB PHYSICAL THERAPY INC.
Practice address
1191 N Vermont Ave
Unit C
Los Angeles, CA 90029-1701
Phone
(323) 668-5535
Fax
(323) 668-0666
NPI assigned
Jul 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Leonid Brenner, P.T.
Title
President
Phone
(323) 668-5535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT20435 CA Primary

Addresses

Primary practice location

1191 N Vermont Ave
Unit C
Los Angeles, CA 90029-1701

Mailing address

1191 N Vermont Ave
Unit C
Los Angeles, CA 90029-1701
Phone (323) 668-5535

National Provider Directory

National Provider Directory

Locations

1191 N Vermont Ave
Unit C
Los Angeles, CA 90029
Phone (323) 668-5535

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902006943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 N VERMONT AVE",
            "address_2": "UNIT C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291701",
            "telephone_number": "323-668-5535",
            "fax_number": "323-668-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 N VERMONT AVE",
            "address_2": "UNIT C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291701",
            "telephone_number": "323-668-5535",
            "fax_number": "323-668-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LB PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRENNER",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-668-5535",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT20435",
            "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 Aug 22, 2020; 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.