# A5 PHYSICAL THERAPY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104641463
- **Authorized official:** AJIT SANKHE DPT (CFO)
- **Authorized official phone:** (617) 605-0295

## Contact information

- **Practice address:** 29219 CANWOOD ST UNIT 107, AGOURA HILLS, CA 91301-1560
- **Practice address phone:** (818) 914-7559
- **Practice address fax:** (818) 914-7560
- **Mailing address:** 1305 WOODLOW CT, WESTLAKE VILLAGE, CA 91361-1756
- **Mailing address phone:** (617) 605-0194

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 2251C2600X | Cardiopulmonary Physical Therapist | — | NULL | — |
| 2251C2600X | Cardiopulmonary Physical Therapist | — | — | — |
| 2251G0304X | Geriatric Physical Therapist | — | NULL | — |
| 2251G0304X | Geriatric Physical Therapist | — | — | — |
| 2251N0400X | Neurology Physical Therapist | — | NULL | — |
| 2251N0400X | Neurology Physical Therapist | — | — | — |
| 2251X0800X | Orthopedic Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 11/20/2024
- **Last updated:** 11/20/2024