One Sports RX Westlake LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ONE SPORTS RX WESTLAKE LLC

Practice address

28501 Canwood St Ste 3B2
Agoura Hills, CA 91301-3206

Phone

(657) 345-0131

NPI assigned

Jun 3, 2021

Organization subpart

No

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

Authorized official

Name

April Vida

Title

Office Manager

Phone

(714) 904-8432

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1902472459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9121 ATLANTA AVE # 337",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926466309",
            "telephone_number": "714-378-1100",
            "fax_number": "714-378-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28501 CANWOOD ST STE 3B2",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913013206",
            "telephone_number": "657-345-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE SPORTS RX WESTLAKE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "VIDA",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-904-8432"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.