Sports Rehab La is a
Clinic/center - Physical Therapy based in Encino, California. Sports Rehab La is licensed to practice in * (Not Available) (license number ) and their current practice location is
16200 Ventura Blvd, #201, Encino, California. It can be reached at their office (for appointments etc.) via phone at
(818) 986-1203.
NPI number for Sports Rehab La is 1811423189 and their current mailing address is 16200 Ventura Blvd, #201, Encino, California. Sports Rehab La
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1811423189.
Healthcare Provider's Profile
Full Name | Sports Rehab La |
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Type | Facility |
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Speciality | Clinic/center - Physical Therapy |
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Location | 16200 Ventura Blvd, Encino, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811423189
- Provider Enumeration Date: 05/05/2017
- Last Update Date: 08/11/2017
Medical Identifiers
Medical identifiers for Sports Rehab La such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811423189 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111NN1001X | Chiropractor - Nutrition | (California) | Secondary |
111NR0200X | Chiropractor - Radiology | (California) | Secondary |
111NR0400X | Chiropractor - Rehabilitation | (California) | Secondary |
111NS0005X | Chiropractor - Sports Physician | (California) | Secondary |
171100000X | Acupuncturist | (California) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sports Rehab La is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sports Rehab La 16200 Ventura Blvd, #201, Encino, CA 91436-2205 Ph: (818) 986-1203 | Sports Rehab La 16200 Ventura Blvd, #201, Encino, CA 91436-2205 Ph: (818) 986-1203 |
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