Fusion Arts Physical Therapy Inc

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT14905 Issued in CA

Legal business name

FUSION ARTS PHYSICAL THERAPY INC

Practice address

16430 Ventura Blvd Ste 100
Encino, CA 91436-2132

Phone

(818) 788-2544

Fax

(818) 788-2405

NPI assigned

Mar 9, 2011

Organization subpart

No

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

Authorized official

Name

Karen Moran, P.T.NPI 1659422012

Title

Owner

Phone

(818) 788-2544

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

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

• Karen Kay Moran, P.T.

  • Physical Therapist
  • Encino, CA
  • NPI 1659422012
  Medicare reassignment Care Compare group NPD Authorized official
• Eduardo Felipe Teran, DPT

  • Physical Therapist
  • Encino, CA
  • NPI 1851795967
  Medicare reassignment Care Compare group NPD
• Emily Diebold, DPT

  • Physical Therapist
  • Encino, CA
  • NPI 1073987251
  Medicare reassignment NPD
• Melody Gabriel, DPT

  • Physical Therapist
  • Playa del Rey, CA
  • NPI 1255675856
  Medicare reassignment NPD
• Brian Douglas Anderson, DPT

  • Physical Therapist
  • Encino, CA
  • NPI 1467502484
  NPD
• Andromeda Stevens, DC

  • Chiropractor
  • Encino, CA
  • NPI 1225362569
  NPD (past)

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1962700302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16430 VENTURA BLVD",
            "address_2": "STE 108",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362115",
            "telephone_number": "818-788-2544",
            "fax_number": "818-788-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16430 VENTURA BLVD STE 100",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362132",
            "telephone_number": "818-788-2544",
            "fax_number": "818-788-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSION ARTS PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-09",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-788-2544",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT14905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT14905",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Functional Restoration
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• Functional Restoration Medical Center
• Deshante M Fuqua
• Sharon Furman, PSY.D.
• G.M.H. Hospice and Palliative Care, Inc.
• Gabriel Rosenthal DDS, Inc
• Lilit Gabrielyan
• Cassandra Melody Gaeta
• Jennifer C. Gaeta, LCSW

• Orthopedic Physical Therapist in Encino, CA
• Providers in Encino, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.