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

Mavis Rode Physical Therapy, Inc

Organization Physical Therapist · NPI 1750715116

Mavis Rode Physical Therapy, Inc provides Physical Therapist services in Los Angeles, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12425 Brooklake St
Los Angeles, CA 90066-1807 Not confirmed with CMS for 13 years — call before visiting
Phone: (310) 397-2740
Fax: (310) 397-2740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT15928 (CA)

Record details

NPI number1750715116
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mavis Rode — President · (310) 397-2740
NPI enumeratedAugust 21, 2013
Last updated in NPPESAugust 21, 2013
Mailing address12425 Brooklake St, Los Angeles, CA 90066-1807

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