1902213127 NPI number — ROBERT LOUIE, PHYSICAL THERAPIST, INCORPORATED

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 1902213127 NPI number — ROBERT LOUIE, PHYSICAL THERAPIST, INCORPORATED

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROBERT LOUIE, PHYSICAL THERAPIST, INCORPORATED
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:
1902213127
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/18/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
23043 LYONS AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SANTA CLARITA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91321-2719
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
661-288-0022
Provider Business Mailing Address Fax Number:
661-288-2030

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
23043 LYONS AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SANTA CLARITA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91321-2719
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-488-6602
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/21/2014

Additional Information

Authorized Official

Authorized Official Last Name:
LOUIE
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
DOUGLAS
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
310-488-6602

Provider Taxonomy Codes

  • Taxonomy code: 261QP2000X , with the licence number:  PT25443 , 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)





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