Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elite Orthosport Physical Therapy

Organization Physical Therapy Clinic/Center · NPI 1215280706

Elite Orthosport Physical Therapy provides Physical Therapy Clinic/Center services in Los Angeles, California. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

12121 Wilshire Blvd Ste 100
Los Angeles, CA 90025-1221
Phone: (310) 477-7774
Fax: (310) 477-7773
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1215280706
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heather Milligan — President · (310) 477-7774
NPI enumeratedOctober 21, 2012
Last updated in NPPESFebruary 7, 2022
Certification dateFebruary 7, 2022
Mailing address12121 Wilshire Blvd Ste 100, Los Angeles, CA 90025-1221

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