Provider Demographics
NPI:1619472495
Name:LEVY, ARIELLE (DPT)
Entity Type:Individual
Prefix:DR
First Name:ARIELLE
Middle Name:
Last Name:LEVY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11500 W OLYMPIC BLVD
Mailing Address - Street 2:STE 415
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-1536
Mailing Address - Country:US
Mailing Address - Phone:424-225-1845
Mailing Address - Fax:310-933-4803
Practice Address - Street 1:17207 VENTURA BLVD STE 4
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-4035
Practice Address - Country:US
Practice Address - Phone:818-386-8070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-26
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA294624225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist