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General NPI Number Information
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NPI Number | 1093541534
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Entity Type | Organization
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Legal Business Name | A5 PHYSICAL THERAPY SERVICES PC
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Dates
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Enumeration Date | 09/11/2024
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 346 KANAN RD STE 101
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City | OAK PARK
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State | CA
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Zip | 91377-1165
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Country | US
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Telephone | 617-605-0295
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Fax |
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Provider Business Mailing Address
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Address Line | 1305 WOODLOW CT
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-1756
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Country | US
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Telephone | 617-605-0295
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | AJIT A SANKHE
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Credential | DPT
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Telephone | 617-605-0295
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251C2600X
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Taxonomy Name | Cardiopulmonary Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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