Organization Active NPI

Retherford Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1922979319
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RETHERFORD PHYSICAL THERAPY INC.
Practice address
4700 W Jefferson Blvd Ste 107
Los Angeles, CA 90016-4055
Phone
(510) 214-3645
NPI assigned
Sep 17, 2025
Last updated
Sep 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Kelton Retherford, DPTNPI 1265149223
Title
Owner
Phone
(510) 214-3645

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 Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

4700 W Jefferson Blvd Ste 107
Los Angeles, CA 90016-4055

Mailing address

9632 Lucerne Ave Apt 14
Culver City, CA 90232-2939

National Provider Directory

National Provider Directory

Locations

4700 W Jefferson Blvd
Ste 107
Los Angeles, CA 90016
Phone (510) 214-3645

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1922979319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9632 LUCERNE AVE APT 14",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 W JEFFERSON BLVD STE 107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900164055",
            "telephone_number": "510-214-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETHERFORD PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "RETHERFORD",
        "authorized_official_first_name": "KELTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-214-3645",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "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 Sep 17, 2025; 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.