Provider Demographics
NPI:1710288493
Name:FIVE POINT PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:FIVE POINT PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:VINESSA
Authorized Official - Middle Name:T
Authorized Official - Last Name:GAERLAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:213-251-8401
Mailing Address - Street 1:3540 WILSHIRE BLVD
Mailing Address - Street 2:#200
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-2307
Mailing Address - Country:US
Mailing Address - Phone:213-251-8401
Mailing Address - Fax:213-251-8403
Practice Address - Street 1:3540 WILSHIRE BLVD
Practice Address - Street 2:#200
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-2307
Practice Address - Country:US
Practice Address - Phone:213-251-8401
Practice Address - Fax:213-251-8403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-11
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty