Active NPI
Kalvin Henry
- Physical Therapy Assistant
- Westlake Village, CA
National Provider Identifier
1992519169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 53803
- Practice address
- 30837 E Thousand Oaks Blvd
Westlake Village, CA 91362-4039 - Phone
- (818) 879-2091
- NPI assigned
- Feb 6, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 53803 | CA | Primary |
Addresses
Primary practice location
30837 E Thousand Oaks Blvd
Westlake Village, CA 91362-4039
Mailing address
1622 Lola Way
Oxnard, CA 93030-5079
Phone (805) 276-6014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53803 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738800000000",
"number": "1992519169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1622 LOLA WAY",
"city": "OXNARD",
"state": "CA",
"postal_code": "930305079",
"telephone_number": "805-276-6014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30837 E THOUSAND OAKS BLVD",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913624039",
"telephone_number": "818-879-2091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "KALVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-06",
"last_updated": "2025-02-06",
"certification_date": "2025-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "53803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westlake Village, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.