MEDICARE: MERAKI PERFORMANCE PHYSICAL THERAPY, INC.

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

General Provider Information

NPI Number	:	1760345201
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERAKI PERFORMANCE PHYSICAL THERAPY, INC.

Provider Business Mailing Address
First Line	:	5550 HOLLYWOOD BLVD APT 432
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90028-9602
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5550 HOLLYWOOD BLVD APT 432
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90028-9602
Country	:	US
Telephone Number	:	626-975-6690
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JASON DUONG
Credential	:	DPT
Telephone Number	:	626-975-6690

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/03/2025

Similar Medicare Providers

1659604734 — TRI-MEDIC INC
Practice Location Address:

9602 S CENTRAL AVE
LOS ANGELES, CA
90002-2027

Practice Phone: 323-732-9156
Practice Fax: 323-292-4514

1972351716 — RECOVERY DYNAMICS LLC
Practice Location Address:

1776 N HIGHLAND AVE
LOS ANGELES, CA
90028-4404

Practice Phone: 213-333-3869
Practice Fax:

1841153905 — BRIANNA SMART
Practice Location Address:

6043 HOLLYWOOD BLVD
LOS ANGELES, CA
90028-5411

Practice Phone: 323-383-7461
Practice Fax:

1740285105 — DR. JAMES D SCOTT PHARM.D.
Practice Location Address:

1625 SCHRADER BLVD , FL 3
LOS ANGELES, CA
90028-6213

Practice Phone: 323-993-7532
Practice Fax: 323-308-4447

1386643831 — DR. ROBERT KEY BOLAN M.D.
Practice Location Address:

1625 SCHRADER BLVD , 3RD FLOOR
LOS ANGELES, CA
90028-6213

Practice Phone: 323-993-7500
Practice Fax: 323-308-4015

1770582231 — CYNTHIA HARRISON F.N.P, R.N.
Practice Location Address:

1625 SCHRADER BLVD
LOS ANGELES, CA
90028-6213

Practice Phone: 323-993-7500
Practice Fax: 323-308-4015

Directions to “MERAKI PERFORMANCE PHYSICAL THERAPY, INC. ” 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 © 2007-2025 (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.