MEDICARE: ATHENYX PHYSICAL THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1982599627
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATHENYX PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	5416 FAIR AVE APT 5203
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-2764
Country	:	US
Telephone Number	:	747-214-9869
Fax Number	:

Provider Business Practice Location Address
First Line	:	5416 FAIR AVE APT 5203
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-2764
Country	:	US
Telephone Number	:	747-214-9869
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HANLIN FENG
Credential	:
Telephone Number	:	747-214-9869

Provider Enumeration Date	:	06/12/2025
Last Update Date	:	08/21/2025

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Directions to “ATHENYX PHYSICAL THERAPY ” Practice Location

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