Provider Demographics
NPI:1699819193
Name:LEVINGER, AMIR (DPT)
Entity type:Individual
Prefix:
First Name:AMIR
Middle Name:
Last Name:LEVINGER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16573 VENTURA BLVD STE 8
Mailing Address - Street 2:
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:818-907-3890
Practice Address - Street 1:16573 VENTURA BLVD STE 8
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2024
Practice Address - Country:US
Practice Address - Phone:818-986-7266
Practice Address - Fax:818-287-6783
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT27373225100000X, 2251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Not Answered2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0PT273730OtherBLUE SHIELD PIN
CA57186667OtherFIRST HEALTH ID
CAWPT27373AMedicare PIN
CAP00210055Medicare PIN