1164433371 NPI number — LAYFIELD & ASSOCIATES PHYSICAL THERAPY INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164433371 NPI number — LAYFIELD & ASSOCIATES PHYSICAL THERAPY INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LAYFIELD & ASSOCIATES PHYSICAL THERAPY INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164433371
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/23/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16101 VENTURA BLVD
Provider Second Line Business Mailing Address:
SUITE 336
Provider Business Mailing Address City Name:
ENCINO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91436-2500
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-905-1331
Provider Business Mailing Address Fax Number:
818-905-8836

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16101 VENTURA BLVD
Provider Second Line Business Practice Location Address:
SUITE 336
Provider Business Practice Location Address City Name:
ENCINO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91436-2500
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-905-1331
Provider Business Practice Location Address Fax Number:
818-905-8836
Provider Enumeration Date:
08/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
LAYFIELD
Authorized Official First Name:
SUSAN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT/ PHYSICAL THERAPIST
Authorized Official Telephone Number:
818-905-1331

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  PT7633 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 953948064 . This is a "BLUE CROSS" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 953948064 . This is a "HEALTHNET" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 953948064 . This is a "HUMANA" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: ZZZ60838Z . This is a "BLUE SHIELD" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 953948064 . This is a "AETNA" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 953948064 . This is a "AARP" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 1371587 . This is a "CIGNA" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 953948064 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 953948064 . This is a "PACIFICARE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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