Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Athletic Physical Therapy

Organization Physical Therapist · NPI 1295967057

Athletic Physical Therapy is a Physical Therapist in Los Angeles, California. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

12424 Wilshire Blvd Ste 101
Los Angeles, CA 90025-1052
Phone: (310) 826-2977
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1295967057
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Clark — President · (818) 340-2002
NPI enumeratedAugust 12, 2009
Last updated in NPPESAugust 12, 2009
Mailing address30877 Thousand Oaks Blvd, Westlake Village, CA 91362-4039

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