Individual provider Active NPI

Anthony Vasquez, P.T.

  • Physical Therapist
  • Westlake Village, CA
National Provider Identifier
1003835703
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20188 Issued in CA
Practice address
1220 La Venta Dr
Suite 102
Westlake Village, CA 91361-3703
Phone
(805) 777-7370
Fax
(805) 777-7380
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 20188 CA Primary

Addresses

Primary practice location

1220 La Venta Dr
Suite 102
Westlake Village, CA 91361-3703

Mailing address

1220 La Venta Dr
Suite 102
Westlake Village, CA 91361-3703
Phone (805) 777-7370

Other identifiers 2

IdentifierTypeStateIssuer
1043236078OtherCAGROUP NPI #
20188OtherCAPT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130312000072 CA Practitioner - Physical Therapist in Private Practice 9537060033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westlake Physical Therapy, Inc.Group PAC ID 5991606493, 4 clinicians

Practice addresses (Care Compare)

110 Jensen CT
Suite 2C
Thousand Oaks, CA 91360-7485
Phone (805) 413-1070

696 Hampshire Rd
Suite 210
Westlake Village, CA 91361-4460
Phone (805) 777-7370

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Westlake Physical Therapy, Inc. Physical Therapist CurrentSince Dec 11, 2001 Accepting new patients
Westlake Physical Therapy, Inc. Physical Therapist Current Accepting new patients

Locations

110 Jensen Ct
Ste 2C
Thousand Oaks, CA 91360
Phone (805) 413-1070

696 Hampshire Rd
Ste 210
Westlake Village, CA 91361
Phone (805) 449-7204

1220 La Venta Dr
Ste 102
Westlake Vlg, CA 91361
Phone (805) 777-7370

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1003835703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 LA VENTA DR",
            "address_2": "SUITE 102",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613703",
            "telephone_number": "805-777-7370",
            "fax_number": "805-777-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 LA VENTA DR",
            "address_2": "SUITE 102",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613703",
            "telephone_number": "805-777-7370",
            "fax_number": "805-777-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "20188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI #",
            "identifier": "1043236078",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "20188",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.