Provider Demographics
NPI:1366500597
Name:VERTEX PHYSICAL THERAPY INC.
Entity Type:Organization
Organization Name:VERTEX PHYSICAL THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEFKO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:805-306-0070
Mailing Address - Street 1:1115 E LOS ANGELES AVE
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-2801
Mailing Address - Country:US
Mailing Address - Phone:805-306-1840
Mailing Address - Fax:180-099-6475
Practice Address - Street 1:1980 SEQUOIA AVE
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-3167
Practice Address - Country:US
Practice Address - Phone:805-306-0070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy