Individual provider · Type 1 NPI

Blake Edward Stoutenburg

Physical Therapist · Los Angeles, CA

NPI number 1831918465 Active

Practice location

580 S San Vicente Blvd
Los Angeles, CA 90048-4621

Call (323) 782-1500 Map

Mailing address

1231 E 6600 S
Murray, UT 84121-2450

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000X308213 (CA)
Physical Therapist Primary 225100000X3043172-2401 (UT)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1831918465

Blake Edward Stoutenburg's National Provider Identifier is 1831918465, issued on Oct 9, 2024. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 20, 2025.