Provider Demographics
NPI:1164433371
Name:LAYFIELD & ASSOCIATES PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:LAYFIELD & ASSOCIATES PHYSICAL THERAPY INC
Other - Org Name:LAYFIELD & ASSOCIATES PHYSICAL THERAPY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT/ PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAYFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:PT DPT MS OCS
Authorized Official - Phone:818-905-1331
Mailing Address - Street 1:16101 VENTURA BLVD
Mailing Address - Street 2:SUITE 336
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-2500
Mailing Address - Country:US
Mailing Address - Phone:818-905-1331
Mailing Address - Fax:818-905-8836
Practice Address - Street 1:16101 VENTURA BLVD
Practice Address - Street 2:SUITE 336
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2500
Practice Address - Country:US
Practice Address - Phone:818-905-1331
Practice Address - Fax:818-905-8836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT7633225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA953948064OtherBLUE CROSS
CA953948064OtherHEALTHNET
CA953948064OtherHUMANA
CAZZZ60838ZOtherBLUE SHIELD
CA953948064OtherAETNA
CA953948064OtherAARP
CA1371587OtherCIGNA
CA953948064OtherUNITED HEALTH CARE
CA953948064OtherPACIFICARE
CA953948064OtherUNITED HEALTH CARE
CAW21287Medicare PIN