Organization
ATHLETIC PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN CLARK DPT (PRESIDENT)
(818) 340-2002
Entity
Organization
Contact information
Practice address
12424 WILSHIRE BLVD, SUITE 101, LOS ANGELES, CA 90025-1052
(310) 826-2977
Mailing address
30877 THOUSAND OAKS BLVD, WESTLAKE VILLAGE, CA 91362-4039
(818) 879-2091
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/12/2009
Last updated
08/12/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up