Organization Active NPI

Active Body Physical Therapy Inc

  • Specialist
  • Woodland Hills, CA
National Provider Identifier
1962673749
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT7940 Issued in CA
Legal business name
ACTIVE BODY PHYSICAL THERAPY INC
Practice address
19730 Ventura Blvd
Suite 104
Woodland Hills, CA 91364-2625
Phone
(818) 676-1400
Fax
(818) 676-1465
NPI assigned
Mar 19, 2008
Last updated
Dec 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Authorized official

Name
Ms. Noushig Bedigian
Title
President
Phone
(818) 676-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X PT7940 CA Primary

Addresses

Primary practice location

19730 Ventura Blvd
Suite 104
Woodland Hills, CA 91364-2625

Mailing address

19730 Ventura Blvd
Suite 104
Woodland Hills, CA 91364-2625
Phone (818) 676-1400

National Provider Directory

National Provider Directory

Locations

22030 Sherman Way
Ste 310
Canoga Park, CA 91303
Phone (818) 676-1400

19730 Ventura Blvd
Ste 104
Woodland Hls, CA 91364
Phone (310) 991-7751

Practitioners & affiliated clinicians

Practitioners 3

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": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1962673749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19730 VENTURA BLVD",
            "address_2": "SUITE 104",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642625",
            "telephone_number": "818-676-1400",
            "fax_number": "818-676-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19730 VENTURA BLVD",
            "address_2": "SUITE 104",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642625",
            "telephone_number": "818-676-1400",
            "fax_number": "818-676-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE BODY PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "BEDIGIAN",
        "authorized_official_first_name": "NOUSHIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-676-1400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT7940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.