RE ACTIVE PHYSICAL THERAPY AND WELLNESS (NPI# 1952650475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952650475 |
| Entity Type | Organization |
| Organization Name | RE ACTIVE PHYSICAL THERAPY AND WELLNESS |
| Practice Address |
8830 S Sepulveda Blvd Los Angeles CA 90045-4833 |
| Practice Telephone | 3104330369 |
| Practice Fax Number | 3109334803 |
| Mailing Telephone | 3104330369 |
| Mailing Fax Number | 3109334803 |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |
| Authorized Official Name | JULIE HERSHBERG (OWNER) |
| Authorized Official Telephone | 3104330369 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
27665 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
8830 S SEPULVEDA BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90045-4833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568777399 | Synergie Physical Therapy | Physical Therapist | 8830 S Sepulveda Blvd, Los Angeles, CA 90045-4833 | 2010-08-17 |
| 1861950107 | Annabelle Davina Maman | Physical Therapist | 8830 S Sepulveda Blvd, Los Angeles, CA 90045-4833 | 2019-03-05 |
| 1093228751 | Madeline G Star | Physical Therapist | 8830 S Sepulveda Blvd, Los Angeles, CA 90045-4833 | 2017-11-15 |
| 1811413107 | Anna Southam | Physical Therapist | 8830 S Sepulveda Blvd, Los Angeles, CA 90045-4833 | 2017-08-17 |
| 1174997159 | Cassandra Hudson | Occupational Therapist | 8830 S Sepulveda Blvd, Los Angeles, CA 90045-4833 | 2015-11-14 |
| 1700253291 | Alyssa Elder | Physical Therapist | 8830 S Sepulveda Blvd, Los Angeles, CA 90045-4833 | 2015-08-31 |
| 1952789794 | Jeffrey Riepe | Physical Therapist | 8830 S Sepulveda Blvd, Los Angeles, CA 90045-4833 | 2015-05-13 |
| 1598150047 | Paula Leonti | Physical Therapist | 8830 S Sepulveda Blvd, Los Angeles, CA 90045-4833 | 2015-04-01 |
| 1467859611 | Emily Mintz | Physical Therapist | 8830 S Sepulveda Blvd, Los Angeles, CA 90045-4833 | 2014-12-02 |
| 1346661451 | Kerry John | Physical Therapist | 8830 S Sepulveda Blvd, Los Angeles, CA 90045-4833 | 2013-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396388849 | Laska Dental Inc | Dentist | 5602 W Manchester Ave, Los Angeles, CA 90045 | 2019-10-28 |
| 1245889179 | Ana Arias | Physical Therapist | 6801 Terrace Drive, Suite 200, Los Angeles, CA 90045 | 2019-09-04 |
| 1144719410 | Family Dental Care 4 You | Dentist | 5602 W. Manchester Ave, Los Angeles, CA 90045 | 2018-05-02 |
| 1821504002 | Rhonda Taylor | Counselor | 8703 La Tijera Blvd Ste 201, Los Angeles, CA 90045 | 2017-12-24 |
| 1114436839 | Blanca Melisa Gomez I | Case Manager/Care Coordinator | 7423 1/4 S Sepulveda Blvd, Los Angeles, CA 90045 | 2017-09-26 |
| 1639688831 | Kalila Magbanua-stein | Counselor | 8618 La Tijera Blvd., Suite 200, Los Angeles, CA 90045 | 2017-09-20 |
| 1568984185 | Angela Mull | Marriage & Family Therapist | 8616 Latijera Blvd, Suite 307, Los Angeles, CA 90045 | 2017-07-14 |
| 1386171585 | Patricia Ann Bridewell | Registered Nurse | 5245 Concourse Drive, Suite 100, Los Angeles, CA 90045 | 2017-05-18 |
| 1679937627 | Thelese Consulting Group | Community/Behavioral Health | 8929 S. Sepulveda Blvd, Suite 400, Los Angeles, CA 90045 | 2016-04-06 |
| 1568823318 | Keith Romalis Ellison | Specialist/Technologist | One Lmu Drive, Gersten Pavilion - Athletic Training Room, Los Angeles, CA 90045 | 2016-03-08 |
| Find all providers in zip 90045 | ||||
| Taxonomy Code | 2251N0400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Neurology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902417355 | Aryana Carvalho-mires | Physical Therapist | 11500 W Olympic Blvd Ste 415, Los Angeles, CA 90064-1536 | 2020-08-10 |
| 1992805840 | Robbin Eileen Howard | Physical Therapist | 1640 Marengo St Ste 102, Los Angeles, CA 90033-1061 | 2006-09-22 |
| 1811413107 | Anna Southam | Physical Therapist | 8830 S Sepulveda Blvd, Los Angeles, CA 90045-4833 | 2017-08-17 |
| 1700253291 | Alyssa Elder | Physical Therapist | 8830 S Sepulveda Blvd, Los Angeles, CA 90045-4833 | 2015-08-31 |
| 1467859611 | Emily Mintz | Physical Therapist | 8830 S Sepulveda Blvd, Los Angeles, CA 90045-4833 | 2014-12-02 |
| 1346661451 | Kerry John | Physical Therapist | 8830 S Sepulveda Blvd, Los Angeles, CA 90045-4833 | 2013-12-17 |
| 1215286729 | Erin Caudill | Physical Therapist | 8830 S Sepulveda Blvd, Los Angeles, CA 90045-4833 | 2012-08-30 |
| 1952687444 | Julie Kristin Tilson | Physical Therapist | 1640 Marengo St, Hra-102, Los Angeles, CA 90033-1036 | 2011-10-27 |
| 1982846580 | Carolee J Winstein | Physical Therapist | 1540 Alcazar St, Los Angeles, CA 90089-0080 | 2009-03-27 |
| 1144425398 | Lori Michi Ginoza | Physical Therapist | 1640 Marengo St Ste 102, Los Angeles, CA 90033-1061 | 2007-06-18 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90045 |
Please comment or provide details below to improve the information on RE ACTIVE PHYSICAL THERAPY AND WELLNESS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.