Organization Active NPI

Mid Valley Physical Therapy, Inc

  • Physical Therapist
  • Encino, CA
National Provider Identifier
1902811755
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT18903 Issued in CA
Legal business name
MID VALLEY PHYSICAL THERAPY, INC
Practice address
16661 Ventura Blvd
Suite # 305
Encino, CA 91436-1914
Phone
(818) 259-3598
Fax
(818) 992-5354
NPI assigned
Jul 30, 2006
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
Sheida Rahimian, RPTNPI 1639106628
Title
Owner
Phone
(818) 259-3598

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT18903 CA Primary

Addresses

Primary practice location

16661 Ventura Blvd
Suite # 305
Encino, CA 91436-1914

Mailing address

5824 McDonie Ave
Woodland Hills, CA 91367-5501
Phone (818) 992-5351

Other identifiers 1

IdentifierTypeStateIssuer
PT18903OtherCACA LICENCE

National Provider Directory

National Provider Directory

Locations

16661 Ventura Blvd
Ste 305
Encino, CA 91436
Phone (818) 259-3598

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902811755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5824 MCDONIE AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913675501",
            "telephone_number": "818-992-5351",
            "fax_number": "818-992-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD",
            "address_2": "SUITE # 305",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361914",
            "telephone_number": "818-259-3598",
            "fax_number": "818-992-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID VALLEY PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAHIMIAN",
        "authorized_official_first_name": "SHEIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-259-3598",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT18903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENCE",
            "identifier": "PT18903",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, 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.