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

Maila Tibberts, PT

Individual provider Physical Therapist · NPI 1477887321

Maila Tibberts, PT is a Physical Therapist in Los Angeles, California. Practices as a sole proprietor. Licensed in California and New York.

Licensed in
CA, NY
In the registry since
2009
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

12113 Santa Monica Blvd Ste 203
Los Angeles, CA 90025-2581
Phone: (310) 309-3721
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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 PT 36737 (CA)
Physical Therapist Taxonomy 225100000X · Licence 031126-1 (NY)

Record details

NPI number1477887321
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedSeptember 24, 2009
Last updated in NPPESNovember 17, 2020
Certification dateNovember 17, 2020

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