SKYFALL PHYSICAL THERAPY
NPI 1982126728
Physical Therapist in Los Angeles, CA

Active since July 13, 2017
11677 SAN VICENTE BLVD STE 207, LOS ANGELES, CA 90049(310) 743-6649 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2021, Jul 13, 2017 (2 updates tracked since 2017).

About Skyfall Physical Therapy NPPES

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

SKYFALL PHYSICAL THERAPY (NPI 1982126728) is a healthcare organization registered as a physical therapist in Los Angeles, California and active in the NPI registry since July 2017. The organization lists Theresa Ketterhagen, President, as its authorized official.

NPPES Registry Identity

NPI1982126728
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameSKYFALL PHYSICAL THERAPY
Location Address11677 SAN VICENTE BLVD STE 207Los Angeles, CA 90049-5128
Mailing AddressPo Box 491471Los Angeles, CA 90049-9471 · (310) 743-6649
Organization SubpartNo
Authorized OfficialTheresa KetterhagenPresident · (310) 743-6649
Enumeration DateJuly 13, 2017
Last NPPES UpdateApril 16, 20212 updates tracked since enumeration
NPPES CertifiedApril 16, 2021
NPI 1982126728 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.
11677 SAN VICENTE BLVD STE 207, Los Angeles, CA 90049

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 3

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

Physical Therapist
11677 SAN VICENTE BLVD STE 207
LOS ANGELES, CA 90049
Physical Therapy Assistant
11677 SAN VICENTE BLVD STE 207
LOS ANGELES, CA 90049
Physical Therapist (Orthopedic)
11677 SAN VICENTE BLVD STE 207
LOS ANGELES, CA 90049

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 Skyfall Physical Therapy's NPI number?

The NPI number for Skyfall Physical Therapy is 1982126728. It was assigned to this organization in the NPPES registry on July 13, 2017.

Where is Skyfall Physical Therapy located?

Skyfall Physical Therapy is located at 11677 San Vicente Blvd Ste 207, Los Angeles, CA 90049. The listed phone number is (310) 743-6649.

What is Skyfall Physical Therapy'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 Skyfall Physical Therapy was last updated on April 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.