OrganizationActive
Elite Orthosport Performance Physical Therapy
NPI 1942953724 · Sports Physical Therapist · Los Angeles, CA
Provider details
- NPI number
- 1942953724
- Entity type
- Organization
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Heather Milligan, Owner/President(310) 477-7774
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
12121 Wilshire Blvd Ste 100
Los Angeles, CA 90025-1221
Phone: (310) 477-7774
Approximate (ZIP-level) locationGet directions
Mailing address
12121 Wilshire Blvd Ste 100
Los Angeles, CA 90025-1221
Other names (DBA / former)
- Other name
- Elite Orthosport Performance Physical Therapy
- Other name
- Elite Orthosport Performance Physical Therapy
Additional practice locations (1)
- 12121 Wilshire Blvd Ste 101Los Angeles, CA 90025-1123Phone: (310) 477-7774
Registry dates
- Enumerated
- 2022-02-01
- Last updated
- 2022-02-17
- Certified
- 2022-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.