Theraform Physical Therapy, Inc
Theraform Physical Therapy, Inc provides Physical Therapist services in Los Angeles, California. Registered with an NPI since 2026.
- In the registry since
- 2026
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
12658 W Washington Blvd Unit 103Los Angeles, CA 90066-2300
Phone: (310) 292-0780
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X |
|---|
Record details
| NPI number | 1902754542 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jocelyn Randall — President & Owner · (310) 292-0780 |
| NPI enumerated | March 19, 2026 |
| Last updated in NPPES | March 24, 2026 |
| Certification date | March 24, 2026 |
| Mailing address | 3181 Barbados Pl, Costa Mesa, CA 92626-2301 |
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