Provider Demographics
NPI:1861583072
Name:COMPREHENSIVE THERAPEUTICS PHYSICAL THERAPY, INC.
Entity type:Organization
Organization Name:COMPREHENSIVE THERAPEUTICS PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:C
Authorized Official - Last Name:ALSTADT
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:818-999-4076
Mailing Address - Street 1:6900 OWENSMOUTH AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-2397
Mailing Address - Country:US
Mailing Address - Phone:818-999-3582
Mailing Address - Fax:818-999-9046
Practice Address - Street 1:6900 OWENSMOUTH AVE STE 102
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-2397
Practice Address - Country:US
Practice Address - Phone:818-999-3582
Practice Address - Fax:818-999-9046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAWPT9224B261QP2000X
261QP2000X
CAWPT9114B261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
W15344Medicare ID - Type Unspecified