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

Sports Medicine Institute - Los Angeles a Prof Physical Therapy Co

Organization Physical Therapist · NPI 1093713125

Sports Medicine Institute - Los Angeles a Prof Physical Therapy Co is a Physical Therapist in Los Angeles, California. Registered with an NPI since 2005.

In the registry since
2005

Practice location Address checks out

9100 S Sepulveda Blvd Ste 116
Los Angeles, CA 90045-4814
Phone: (714) 939-6200
Fax: (714) 939-6500
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 number1093713125
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cindy Graham — Manager · (714) 939-6200
NPI enumeratedJuly 12, 2005
Last updated in NPPESSeptember 23, 2015
Mailing address1590 S Sinclair St, C/O Smi, Anaheim, CA 92806-5933

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