Provider Demographics
NPI:1942609151
Name:FILART, ERNEST (PT, DPT, MPH)
Entity Type:Individual
Prefix:
First Name:ERNEST
Middle Name:
Last Name:FILART
Suffix:
Gender:M
Credentials:PT, DPT, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2421 MATHEWS AVE UNIT 3
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90278-3201
Mailing Address - Country:US
Mailing Address - Phone:626-253-1019
Mailing Address - Fax:
Practice Address - Street 1:2421 MATHEWS AVE UNIT 3
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90278-3201
Practice Address - Country:US
Practice Address - Phone:626-253-1019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-14
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
CA41572225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist