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

Mavis Rode Physical Therapy, Inc

Organization Physical Therapist · NPI 1750715116

Mavis Rode Physical Therapy, Inc is a Physical Therapist in Los Angeles, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
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

12425 Brooklake St
Los Angeles, CA 90066-1807
Phone: (310) 397-2740
Fax: (310) 397-2740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT15928 (CA)

Record details

NPI number1750715116
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mavis Rode — President · (310) 397-2740
NPI enumeratedAugust 21, 2013
Last updated in NPPESAugust 21, 2013
Mailing address12425 Brooklake St, Los Angeles, CA 90066-1807

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