MEDICARE: EMILY POPOFF DPT

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	225100000X	Physical Therapist	PT40382	CA

General Provider Information

NPI Number	:	1508295163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY POPOFF DPT

Provider Business Mailing Address
First Line	:	13163 FOUNTAIN PARK DR STE A
Second Line	:
City	:	PLAYA VISTA
State	:	CA
Zip	:	90094-3067
Country	:	US
Telephone Number	:	301-823-2220
Fax Number	:

Provider Business Practice Location Address
First Line	:	7713 BEVERLY BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-2113
Country	:	US
Telephone Number	:	323-965-7713
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2013
Last Update Date	:	01/07/2026

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Directions to “ EMILY POPOFF DPT” Practice Location

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