Kam Physical Therapy & Performance

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

KAM PHYSICAL THERAPY & PERFORMANCE

Practice address

3672 Jasmine Ave Apt 401
Los Angeles, CA 90034-4246

Phone

(909) 289-6200

NPI assigned

Nov 15, 2023

Organization subpart

No

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

Authorized official

Name

Kamren Ackerman, DPTNPI 1104412352

Title

President

Phone

(909) 289-6200

Specialties & licenses 1

Addresses

Other names 1

• Puer Physical Therapy Doing business as

Electronic endpoints 2

Practitioners 1

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

• Kamren Ackerman

  • Physical Therapist
  • Harbor City, CA
  • NPI 1104412352
  NPD Authorized official

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1962276485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3672 JASMINE AVE APT 401",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900344246",
            "telephone_number": "909-289-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3672 JASMINE AVE APT 401",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900344246",
            "telephone_number": "909-289-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5160 Richton St Ste D",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "CA",
            "postal_code": "917631315",
            "country_code": "US",
            "telephone_number": "909-289-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KAM PHYSICAL THERAPY & PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "ACKERMAN",
        "authorized_official_first_name": "KAMREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-289-6200",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drkam@puerpt.com",
            "affiliation": "N",
            "address_1": "3672 Jasmine Ave Apt 401",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900344246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drkam@puerpt.com",
            "affiliation": "N",
            "address_1": "3672 Jasmine Ave Apt 401",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900344246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Puer Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Kaltenthaler
• Jessica Kaltman, M.D.
• Marla Gwen Kaltman, PA
• Michelle Chioma Kalu, PHARMD
• Julian Kalyani
• Clarice Kam, PHARM.D.
• Olivia Kam, OD
• Alison Kamae
• Ani Gabriella Kamajian, LMFT, LPCC
• Mafa Ribhi Kamal, M.D.

• Physical Therapy Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.