DB Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DB PHYSICAL THERAPY PC

Practice address

822 S Robertson Blvd Ste 310
Los Angeles, CA 90035-1632

Phone

(310) 360-9069

NPI assigned

Jul 4, 2022

Organization subpart

No

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

Authorized official

Name

Damon Brown, PT, DPTNPI 1730367400

Title

Owner

Phone

(310) 360-9069

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Damon Brown, PT

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1730367400
  Medicare reassignment NPD Authorized official
• Drew Clark, PT, DPT

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1700274628
  Medicare reassignment NPD

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

{
    "created_epoch": "1656892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656892800000",
    "number": "1902539331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 S ROBERTSON BLVD STE 310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351632",
            "telephone_number": "310-360-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S ROBERTSON BLVD STE 310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351632",
            "telephone_number": "310-360-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DB PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-04",
        "last_updated": "2022-07-04",
        "certification_date": "2022-07-04",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-360-9069",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.