Phzio Physical Therapy of New Jersey PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHZIO PHYSICAL THERAPY OF NEW JERSEY PC

Practice address

11825 Major St
Culver City, CA 90230-6356

Phone

(310) 722-6574

NPI assigned

Jul 29, 2019

Organization subpart

No

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

Authorized official

Name

Darwin Fogt, MPT

Title

President

Phone

(310) 722-6574

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1952955833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11825 MAJOR ST",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306356",
            "telephone_number": "310-722-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11825 MAJOR ST",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306356",
            "telephone_number": "310-722-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHZIO PHYSICAL THERAPY OF NEW JERSEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "FOGT",
        "authorized_official_first_name": "DARWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-722-6574",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "phzio.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11825 Major St",
            "city": "Culver City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902306356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Isabella Louise Piangerelli
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• Alvin Pierce Jr.
• Pierce la Sierra Dental Group Inc

• Physical Therapist in Culver City, CA
• Providers in Culver City, 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 29, 2019; 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.