OrganizationActive
Corpus Art Physical Therapy Professional Corp
NPI 1619923059 · Physical Therapy Clinic/Center · Los Angeles, CA
Provider details
- NPI number
- 1619923059
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Vladislav Shub, President(310) 312-1111
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11860 Wilshire Blvd
100
Los Angeles, CA 90025-6613
Phone: (310) 312-1111
Fax: (310) 312-1139
Street-level locationGet directions
Mailing address
11860 Wilshire Blvd
Los Angeles, CA 90025-6613
Registry dates
- Enumerated
- 2006-05-26
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.