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

Re Active Physical Therapy and Wellness

Organization Neurology Physical Therapist · NPI 1952650475

Re Active Physical Therapy and Wellness provides Neurology Physical Therapist services in Los Angeles, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

8830 S Sepulveda Blvd
Los Angeles, CA 90045-4833 Not confirmed with CMS for 14 years — call before visiting
Phone: (310) 433-0369
Fax: (310) 933-4803
Show map & directions

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

Specialties & licences

Neurology Physical Therapist (primary) Taxonomy 2251N0400X · Licence 27665 (CA)

Record details

NPI number1952650475
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Hershberg — Owner · (310) 433-0369
NPI enumeratedAugust 30, 2012
Last updated in NPPESAugust 30, 2012
Mailing address8830 S Sepulveda Blvd, Los Angeles, CA 90045-4833

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