THERAFORM PHYSICAL THERAPY, INC.
NPI 1902754542
Physical Therapist in Los Angeles, CA

Active since March 19, 2026
12658 W WASHINGTON BLVD UNIT 103, LOS ANGELES, CA 90066(310) 292-0780 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2026, Mar 19, 2026 (2 updates tracked since 2026).

About Theraform Physical Therapy, Inc. NPPES

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

THERAFORM PHYSICAL THERAPY, INC. (NPI 1902754542) is a healthcare organization registered as a physical therapist in Los Angeles, California and active in the NPI registry since March 2026. The organization lists Jocelyn Randall, President & Owner, as its authorized official.

NPPES Registry Identity

NPI1902754542
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameTHERAFORM PHYSICAL THERAPY, INC.
Location Address12658 W WASHINGTON BLVD UNIT 103Los Angeles, CA 90066-2300
Mailing Address3181 Barbados PlCosta Mesa, CA 92626-2301 · (310) 292-0780
Organization SubpartNo
Authorized OfficialJocelyn RandallPresident & Owner · (310) 292-0780
Enumeration DateMarch 19, 2026
Last NPPES UpdateMarch 24, 20262 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
NPI 1902754542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
12658 W WASHINGTON BLVD UNIT 103, Los Angeles, CA 90066

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.

Physical Therapist
12658 W WASHINGTON BLVD UNIT 103
LOS ANGELES, CA 90066

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 Theraform Physical Therapy, Inc.'s NPI number?

The NPI number for Theraform Physical Therapy, Inc. is 1902754542. It was assigned to this organization in the NPPES registry on March 19, 2026.

Where is Theraform Physical Therapy, Inc. located?

Theraform Physical Therapy, Inc. is located at 12658 W Washington Blvd Unit 103, Los Angeles, CA 90066. The listed phone number is (310) 292-0780.

What is Theraform Physical Therapy, Inc.'s specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Theraform Physical Therapy, Inc. was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.