Provider Demographics
NPI:1225815822
Name:AJ PT WEST INC
Entity type:Organization
Organization Name:AJ PT WEST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARAK
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAUS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:818-986-7266
Mailing Address - Street 1:16573 VENTURA BLVD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-2024
Mailing Address - Country:US
Mailing Address - Phone:818-986-7266
Mailing Address - Fax:818-287-6783
Practice Address - Street 1:23586 CALABASAS RD CALABASAS
Practice Address - Street 2:SUITE 103
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91302-1322
Practice Address - Country:US
Practice Address - Phone:818-986-7266
Practice Address - Fax:818-287-6783
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AJ PHYSICAL THERAPY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty