Individual provider Active NPI

Eleanor Bachman, DPT

  • Pediatric Physical Therapist
  • Santa Monica, CA
National Provider Identifier
1003157892
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
292107 Issued in CA
Practice address
1233 20TH St Apt 4
Santa Monica, CA 90404-1310
Phone
(917) 755-8910
NPI assigned
Mar 5, 2013
Last updated
Apr 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24402 MD
Pediatric Physical Therapist 2251P0200X 292107 CA Primary

Addresses

Primary practice location

1233 20TH St Apt 4
Santa Monica, CA 90404-1310

Mailing address

1233 20TH St Apt 4
Santa Monica, CA 90404-1310
Phone (917) 755-8910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24402MDMDPharmacist
292107CAMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elissa Driban and Associates, LLC CurrentSince Mar 4, 2013 Accepting new patients
Nora B, PT Pediatric Physical Therapy, Inc. Pediatrics CurrentSince Mar 12, 2023 Accepting new patients
Centers for Advanced Orthopaedics, LLC PastSince Mar 4, 2013 Accepting new patients
KTMS, Inc. Past Accepting new patients

Locations

5530 Wisconsin Ave
Ste 1650
Chevy Chase, MD 20815
Phone (301) 986-9100

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1003157892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 20TH ST APT 4",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041310",
            "telephone_number": "917-755-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 20TH ST APT 4",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041310",
            "telephone_number": "917-755-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHMAN",
        "first_name": "ELEANOR",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24402",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "292107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.