Active NPI
Noelle Gilson Budrovich, DPT
- Physical Therapist
- Torrance, CA
National Provider Identifier
1003902735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT17060
- Practice address
- 2842 Sepulveda Blvd
Torrance, CA 90505-2803 - Phone
- (310) 325-0800
- Fax
- (310) 325-7705
- NPI assigned
- Oct 4, 2006
- Last updated
- Sep 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT17060 | CA | Primary |
| Neurology Physical Therapist | 2251N0400X | PT17060 | CA | |
| Pediatric Physical Therapist | 2251P0200X | PT 17060 | CA | |
| Orthopedic Physical Therapist | 2251X0800X | PT17060 | CA |
Addresses
Primary practice location
2842 Sepulveda Blvd
Torrance, CA 90505-2803
Mailing address
2842 Sepulveda Blvd
Torrance, CA 90505-2803
Phone (310) 325-0800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031117000926 | CA | Practitioner - Physical Therapist in Private Practice | 1254245988 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.05 of 100
- Quality
- 98.52
- Improvement activities
- 40
- Cost
- 78.8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17060 | CA | MD | Acupuncturist |
| PT17060 | CA | MD | Neurology Physical Therapist |
| PT 17060 | CA | MD | Pediatric Physical Therapist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Torrance, CA
- NPI 1427144377
-
dba Success Physical Therapy and Balance Center, Inc
- Physical Therapy Clinic/Center
- Torrance, CA
- NPI 1245678176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190160000000",
"number": "1003902735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2842 SEPULVEDA BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905052803",
"telephone_number": "310-325-0800",
"fax_number": "310-325-7705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2842 SEPULVEDA BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905052803",
"telephone_number": "310-325-0800",
"fax_number": "310-325-7705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUDROVICH",
"first_name": "NOELLE",
"middle_name": "GILSON",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2007-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT17060",
"primary": true
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "CA",
"license": "PT17060",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CA",
"license": "PT 17060",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT17060",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.