Provider Demographics
NPI:1447953674
Name:BECHTEL PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:BECHTEL PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST (PART OWNER)
Authorized Official - Prefix:
Authorized Official - First Name:BRYN
Authorized Official - Middle Name:D
Authorized Official - Last Name:AITKEN-YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:510-862-7009
Mailing Address - Street 1:15250 VENTURA BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-3214
Mailing Address - Country:US
Mailing Address - Phone:818-990-0267
Mailing Address - Fax:
Practice Address - Street 1:15250 VENTURA BLVD STE 300
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-3214
Practice Address - Country:US
Practice Address - Phone:510-862-7009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-27
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty