PT Medical, Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PT MEDICAL, INC

Practice address

5731 W Slauson Ave Ste 150
Culver City, CA 90230-4232

Phone

(443) 320-1023

Fax

(443) 320-1030

NPI assigned

Nov 5, 2009

Organization subpart

Yes

Parent organization

PROGRESSUS THERAPY, LLCAs reported in NPPES

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

Authorized official

Name

Craig Bartlett

Title

Cfo

Phone

(443) 320-1023

Specialties & licenses 1

Addresses

Part of

Progressus Therapy

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Progressus Therapy, LLC

  • Speech-Language Pathologist
  • Culver City, CA
  • NPI 1467787606
  NPPES parent name

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1992032346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PRESIDENT ST STE 2300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024663",
            "telephone_number": "443-320-1023",
            "fax_number": "443-320-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5731 W SLAUSON AVE STE 150",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304232",
            "telephone_number": "443-320-1023",
            "fax_number": "443-320-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT MEDICAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROGRESSUS THERAPY, LLC",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "BARTLETT",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "443-320-1023"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Culver City, CA
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.