MEDICARE: ORIT BORNSTEIN R.P.T.

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	PT14020	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PT140200	OTHER	CA	BLUE SHEILD

General Provider Information

NPI Number	:	1982700670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ORIT BORNSTEIN R.P.T.

Provider Business Mailing Address
First Line	:	12626 RIVERSIDE DR
Second Line	:	SUITE #301
City	:	VALLEY VILLAGE
State	:	CA
Zip	:	91607-3420
Country	:	US
Telephone Number	:	818-203-0922
Fax Number	:	818-760-0137

Provider Business Practice Location Address
First Line	:	12626 RIVERSIDE DR
Second Line	:	SUITE #301
City	:	VALLEY VILLAGE
State	:	CA
Zip	:	91607-3420
Country	:	US
Telephone Number	:	818-203-0922
Fax Number	:	818-760-0137

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

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	11/25/2009

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Directions to “ ORIT BORNSTEIN R.P.T.” Practice Location

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