VICTORY PERFORMANCE AND PHYSICAL THERAPY
NPI 1609393396
Physical Therapist - Orthopedic in Los Angeles, CA

Q: What is Victory Performance And Physical Therapy's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Active since August 24, 2017

11461 W WASHINGTON BLVD STE 1, LOS ANGELES, CA 90066(310) 775-0558 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Aug 24, 2017 (2 updates tracked since 2017).

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About Victory Performance And Physical Therapy NPPES

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

VICTORY PERFORMANCE AND PHYSICAL THERAPY (NPI 1609393396) is a healthcare organization registered as an orthopedic in Los Angeles, California and active in the NPI registry since August 2017. The organization maintains a secondary practice location in Los Angeles and lists Santo Riva, President, as its authorized official.

NPPES Registry Identity

NPI1609393396

Entity TypeOrganization

Primary Taxonomy2251X0800X

Legal Business NameVICTORY PERFORMANCE AND PHYSICAL THERAPY

Location Address11461 W WASHINGTON BLVD STE 1Los Angeles, CA 90066-6014

Mailing Address10458 Lorenzo PlLos Angeles, CA 90064-4451 · (310) 775-0558

Phone(310) 775-0558

Organization SubpartNo

Authorized OfficialSanto RivaPresident · (310) 775-0558

Enumeration DateAugust 24, 2017

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1609393396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in CA · PT37934

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

11461 W WASHINGTON BLVD STE 1, Los Angeles, CA 90066

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Secondary Practice Location 1

Location 112528 W Washington BlvdLos Angeles, CA 90066-5506 · Phone (310) 775-0558

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMMANUEL ELI MALDONADO CMT

Massage Therapist

11461 W WASHINGTON BLVD STE 1
LOS ANGELES, CA 90066

Los Angeles County (424) 543-4336

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 Victory Performance And Physical Therapy's NPI number?

The NPI number for Victory Performance And Physical Therapy is 1609393396. It was assigned to this organization in the NPPES registry on August 24, 2017.

Where is Victory Performance And Physical Therapy located?

Victory Performance And Physical Therapy is located at 11461 W Washington Blvd Ste 1, Los Angeles, CA 90066. The listed phone number is (310) 775-0558.

What is Victory Performance And Physical Therapy's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Victory Performance And Physical Therapy was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.