MEDICARE: COLE BERWEILER PTA

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	225200000X	Physical Therapy Assistant	53327	CA

General Provider Information

NPI Number	:	1568297315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLE BERWEILER PTA

Provider Business Mailing Address
First Line	:	25115 AVENUE STANFORD STE B135
Second Line	:
City	:	VALENCIA
State	:	CA
Zip	:	91355-1290
Country	:	US
Telephone Number	:	661-250-9940
Fax Number	:	661-250-9959

Provider Business Practice Location Address
First Line	:	30135 AGOURA RD STE C
Second Line	:
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-4338
Country	:	US
Telephone Number	:	818-707-7344
Fax Number	:	818-707-7133

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

Provider Enumeration Date	:	09/03/2024
Last Update Date	:	09/03/2024

Similar Medicare Providers

1598520108 — VARGO PHYSICAL THERAPY, INC
Practice Location Address:

30135 AGOURA RD STE C
AGOURA HILLS, CA
91301-4338

Practice Phone: 818-707-7344
Practice Fax: 818-707-7133

1427157122 — ROBERT N. METTAM, P.T., PHYSICAL THERAPIST, INC.
Practice Location Address:

30135 AGOURA RD , SUITE C
AGOURA HILLS, CA
91301-4338

Practice Phone: 818-707-7344
Practice Fax: 818-707-7133

1649585688 — DR. STEVEN F BOWEN
Practice Location Address:

30135 AGOURA RD STE C
AGOURA HILLS, CA
91301-4338

Practice Phone: 818-707-7344
Practice Fax:

1114463247 — LIANNE ELIZABETH MESSIER DPT
Practice Location Address:

30135 AGOURA RD , SUITE C
AGOURA HILLS, CA
91301-4338

Practice Phone: 818-707-7344
Practice Fax:

1184200032 — ROBERT N METTAM PT AND TIMOTHY P EVERITT PT PHYSICAL THERAPISTS INC
Practice Location Address:

30135 AGOURA RD STE C
AGOURA HILLS, CA
91301-4338

Practice Phone: 818-707-7344
Practice Fax: 818-707-7133

1619051323 — NEW MILLENNIUM DIAGNOSTICS, INC
Practice Location Address:

24953 PASEO DE VALENCIA STE 20A BLDG A
LAGUNA HILLS, CA
92653-4338

Practice Phone: 949-598-4140
Practice Fax: 949-598-4145

Directions to “ COLE BERWEILER PTA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.