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

Divine Health Provider Physical Therapy Inc

Organization Physical Therapy Clinic/Center · NPI 1386899763

Divine Health Provider Physical Therapy Inc is a Physical Therapy Clinic/Center in Simi Valley, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2008
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

1687 Erringer Rd Ste 109
Simi Valley, CA 93065-6509
Phone: (805) 581-4266
Fax: (805) 581-5049
Show map & directions

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

Additional practice locations (1)

  • 3200 E Los Angeles Ave, Simi Valley, CA 93065-3971 — (805) 581-4266

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence PT24912 (CA)

Record details

NPI number1386899763
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonah Tan — Director · (805) 581-4266
Other names Simi Physical Therapy Center
NPI enumeratedNovember 26, 2008
Last updated in NPPESJuly 21, 2022
Mailing address1687 Erringer Rd Ste 109, Simi Valley, CA 93065-6509

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