Provider Demographics
NPI:1184494015
Name:INCEPT PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:INCEPT PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEVON
Authorized Official - Middle Name:LEVY
Authorized Official - Last Name:AYRAPETYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-371-2214
Mailing Address - Street 1:13856 GILMORE ST
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-1514
Mailing Address - Country:US
Mailing Address - Phone:323-371-2214
Mailing Address - Fax:
Practice Address - Street 1:13856 GILMORE ST
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-1514
Practice Address - Country:US
Practice Address - Phone:323-371-2214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty