Luc Fecteau, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

37011 Issued in CA

Practice address

101 Hodencamp Rd Ste 102
Thousand Oaks, CA 91360-5831

Phone

(805) 496-9944

Fax

(805) 496-9945

NPI assigned

Nov 29, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advanced Physical Therapy and Sports Medicine

  • Physical Therapy Clinic/Center
  • Thousand Oaks, CA
  • NPI 1316256225

  Physical Therapist

  NPD

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1043587587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HODENCAMP RD STE 102",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605831",
            "telephone_number": "805-496-9944",
            "fax_number": "805-496-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HODENCAMP RD STE 102",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605831",
            "telephone_number": "805-496-9944",
            "fax_number": "805-496-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FECTEAU",
        "first_name": "LUC",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-29",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "37011",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "37011",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "37011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ardeshir Farshidi, M.D.
• Fatemeh Dehestani DDS, Inc.
• Sheila Laura Fathi, DDS
• Saul R Favila, MD
• Renee Featherstone, H.A.D.
• Ashleigh R Federico
• Tracey Feezor
• Jeffrey K Feinfield, M.D.
• Feld Care Therapy Inc
• Irina Feldman, M.D.

• All providers in Thousand Oaks, CA
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.