DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ACTIVE HEALTH PHYSICAL THERAPY, INC.

MEDICARE: ACTIVE HEALTH 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
12251E1200XErgonomics Physical Therapist32763CA
22251S0007XSports Physical Therapist32763CA
32251X0800XOrthopedic Physical Therapist32763CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
132763OTHERCAPHYSICAL THERAPY LICENSE

General Provider Information

NPI Number : 1952555609
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACTIVE HEALTH PHYSICAL THERAPY, INC.
Provider Business Mailing Address
First Line : 911 7TH ST
Second Line : SUITE D
City : SANTA MONICA
State : CA
Zip : 90403-2779
Country : US
Telephone Number : 310-994-4663
Fax Number : 310-310-3865
Provider Business Practice Location Address
First Line : 10585 SANTA MONICA BLVD
Second Line : SUITE 100
City : LOS ANGELES
State : CA
Zip : 90025-4921
Country : US
Telephone Number : 310-994-4663
Fax Number : 310-310-3865
Authorized Official
Title or Position : PRESIDENT
Name : MS. TANYA LEIGH MACLEOD
Credential : PT, DPT
Telephone Number : 310-994-4663
Provider Enumeration Date : 11/07/2008
Last Update Date : 02/19/2013

Similar Medicare Providers

1447297262 — TANYA LEIGH MACLEOD PT, DPT
Practice Location Address:
10585 SANTA MONICA BLVD , SUITE #100
LOS ANGELES, CA
90025-4921
Practice Phone: 310-663-5546
Practice Fax:
1154433217 — DR. LINDA L FOSTER O.D.
Practice Location Address:
4921 EAGLE ROCK BLVD
LOS ANGELES, CA
90041-1906
Practice Phone: 323-255-2221
Practice Fax:
1669804241 — DR. A NELSON EL AMIN
Practice Location Address:
4921 INADALE AVE
LOS ANGELES, CA
90043-1550
Practice Phone: 213-351-7404
Practice Fax:
1578924981 — LINDA FOSTER OPTOMETRY, INC.
Practice Location Address:
4921 EAGLE ROCK BLVD
LOS ANGELES, CA
90041-1906
Practice Phone: 323-255-2221
Practice Fax: 888-741-7962
1497103816 — MR. JAMES PETER MILNES PT, DPT
Practice Location Address:
6306 W 77TH PL
LOS ANGELES, CA
90045-1410
Practice Phone: 323-646-1123
Practice Fax:
1699753491 — MARGARET TENNYSON-ROBEY P.T.
Practice Location Address:
2101 TRINITY DR , STE. N.
LOS ALAMOS, NM
87544-4103
Practice Phone: 505-661-6191
Practice Fax: 505-663-0386

Directions to “ACTIVE HEALTH 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 © 2007-2026 (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.