Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEONI REI STALLWORTH, DPT
Active Sole ProprietorKEONI REI STALLWORTH, DPT is a Physical Therapy Assistant healthcare provider located in LOS ANGELES, California. NPI 1154163186 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LOS ANGELES, CA
Registration Details
- NPI Number
- 1154163186
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 11, 2024 (2.2142039922866 yrs)
- Last Updated
- Mar 3, 2025
- Licenses
-
PENDING (CA)PT306848 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1640 MARENGO ST HBA 102LOS ANGELES, CA, 900893603Browse CA providers · Browse ZIP 90089
- Phone
- 3238651200
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in LOS ANGELES, CA
| Name | Credential | NPI |
|---|---|---|
| MARTA KATZ | PT | 1033117163 |
| CHRISTOPHER GRAHAM | PT | 1740288794 |
| GAURAVI P. MERCHANT | P.T. | 1518949023 |
| MOLLEE HOPE SMITH | PT | 1609851559 |
| MS. MARTINA S FOGT | MPT | 1134105133 |
| ILYA KAMINSKY | RPT, DC | 1821076852 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.