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

Re Active Physical Therapy and Wellness

Organization Neurology Physical Therapist · NPI 1952650475

Re Active Physical Therapy and Wellness is a Neurology Physical Therapist in Los Angeles, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

8830 S Sepulveda Blvd
Los Angeles, CA 90045-4833
Phone: (310) 433-0369
Fax: (310) 933-4803
Show map & directions

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

Specialties & licences

Neurology Physical Therapist (primary) Taxonomy 2251N0400X · Licence 27665 (CA)

Record details

NPI number1952650475
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Hershberg — Owner · (310) 433-0369
NPI enumeratedAugust 30, 2012
Last updated in NPPESAugust 30, 2012
Mailing address8830 S Sepulveda Blvd, Los Angeles, CA 90045-4833

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