SPORTS MEDICINE PHYSICAL THERAPY GROUP INC.
NPI 1548476401
Clinic/Center - Physical Therapy in La Canada, CA

Active since May 15, 2007
650 FOOTHILL BLVD, LA CANADA, CA 91011(818) 952-0906 Get Directions Write a Review

NPPES record last updated: August 12, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sports Medicine Physical Therapy Group Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPORTS MEDICINE PHYSICAL THERAPY GROUP INC. (NPI 1548476401) is a healthcare organization registered as a physical therapy in La Canada, California and active in the NPI registry since May 2007. The organization lists Ann Mori, President, as its authorized official.

NPPES Registry Identity

NPI1548476401
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameSPORTS MEDICINE PHYSICAL THERAPY GROUP INC.
Location Address650 FOOTHILL BLVDLa Canada, CA 91011-3429
Mailing Address650 Foothill BlvdLa Canada, CA 91011-3429 · (818) 952-0906
Organization SubpartNo
Authorized OfficialAnn MoriPresident · (818) 952-0906
Enumeration DateMay 15, 2007
Last NPPES UpdateAugust 12, 2010
✔ NPI 1548476401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Licenses✔ Licensed in CA · PT10483✔ Licensed in CA · PT219
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
650 FOOTHILL BLVD, La Canada, CA 91011

Other Identifiers 2

Medicare ID-Type UnspecifiedPT10483CA · Medicare Id.
Medicare ID-Type UnspecifiedPT219CA · Medicare Id.

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sports Medicine Physical Therapy Group Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Sports Medicine Physical Therapy Group Inc., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Physical Therapist in Private Practice
NPI 1124508510
1111 N BRAND BLVD
Glendale, CA 91202
(818) 244-0468
✔ Accepts Medicare4.5 mi
Physical Therapist in Private Practice
NPI 1346487006
500 W GLENOAKS BLVD
Glendale, CA 91202
(818) 637-2127
✔ Accepts Medicare5.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sports Medicine Physical Therapy Group Inc.'s NPI number?

The NPI number for Sports Medicine Physical Therapy Group Inc. is 1548476401. It was assigned to this organization in the NPPES registry on May 15, 2007.

Where is Sports Medicine Physical Therapy Group Inc. located?

Sports Medicine Physical Therapy Group Inc. is located at 650 Foothill Blvd, La Canada, CA 91011. The listed phone number is (818) 952-0906.

What is Sports Medicine Physical Therapy Group Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Sports Medicine Physical Therapy Group Inc. enrolled in Medicare?

Yes. Sports Medicine Physical Therapy Group Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sports Medicine Physical Therapy Group Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Sports Medicine Physical Therapy Group Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sports Medicine Physical Therapy Group Inc. was last updated on August 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.