| Body Dynamix Integrated Sports Medicine, Inc | |
|
18344 Oxnard Street, Unit 104, Tarzana, CA 91356 | |
| (818) 783-4085 | |
| (818) 783-4065 |
| Full Name | Body Dynamix Integrated Sports Medicine, Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 18344 Oxnard Street, Tarzana, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912386376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NR0400X | Chiropractor - Rehabilitation | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (California) | Primary |
| Provider Name | Bernadette Ramos Hernandez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093764813 PECOS PAC ID: 1052376118 Enrollment ID: I20041130000988 |
| Provider Name | Keith Robertson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619033925 PECOS PAC ID: 6305944323 Enrollment ID: I20080506000802 |
| Provider Name | Robert E Henry |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1306970900 PECOS PAC ID: 8820141914 Enrollment ID: I20090807000162 |
| Provider Name | Max S Sterenson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033665831 PECOS PAC ID: 1052692472 Enrollment ID: I20161227000196 |
| Provider Name | Rhett T Almond |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871291252 PECOS PAC ID: 4385009802 Enrollment ID: I20230504002650 |
| Provider Name | Sawyer Stapp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144910936 PECOS PAC ID: 0840644688 Enrollment ID: I20230927001443 |
| Provider Name | Ariana J Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750937967 PECOS PAC ID: 9931548088 Enrollment ID: I20240422002714 |
| Mailing Address | Practice Location Address |
|---|---|
| Body Dynamix Integrated Sports Medicine, Inc 18344 Oxnard Street, Unit 104, Tarzana, CA 91356 Ph: (818) 783-4085 | Body Dynamix Integrated Sports Medicine, Inc 18344 Oxnard Street, Unit 104, Tarzana, CA 91356 Ph: (818) 783-4085 |