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

Back2 Health Physical Therapy Inc

Organization Physical Medicine & Rehabilitation Physician · NPI 1053419408

Back2 Health Physical Therapy Inc is a Physical Medicine & Rehabilitation Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1335 N La Brea Ave Ste 3
Los Angeles, CA 90028-7565
Phone: (310) 246-1050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence PT32430 (CA)

Record details

NPI number1053419408
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vladislav Shut — President · (310) 246-1050
NPI enumeratedSeptember 20, 2006
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025
Mailing address1335 N La Brea Ave, Los Angeles, CA 90028-7526

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