Healthcare Provider Details

I. General information

NPI: 1457692410
Provider Name (Legal Business Name): THE PILATES PT PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2013
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13425 VENTURA BLVD STE 200
SHERMAN OAKS CA
91423-3997
US

IV. Provider business mailing address

13425 VENTURA BLVD STE 200
SHERMAN OAKS CA
91423-3997
US

V. Phone/Fax

Practice location:
  • Phone: 310-871-9554
  • Fax:
Mailing address:
  • Phone: 310-871-9554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number29666
License Number StateCA

VIII. Authorized Official

Name: MRS. HEATHER JEFFCOAT
Title or Position: PRESIDENT
Credential: PT
Phone: 310-871-9554