Provider Demographics
NPI:1477650927
Name:LANDSWICK PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:LANDSWICK PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:TIMOTHY
Authorized Official - Last Name:LANDSWICK
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:626-795-2390
Mailing Address - Street 1:959 E WALNUT ST
Mailing Address - Street 2:STE 240
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-1451
Mailing Address - Country:US
Mailing Address - Phone:626-795-2390
Mailing Address - Fax:626-795-2391
Practice Address - Street 1:959 E WALNUT ST
Practice Address - Street 2:STE 240
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-1451
Practice Address - Country:US
Practice Address - Phone:626-795-2390
Practice Address - Fax:626-795-2391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 24704225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty