Active NPI
Cynthia Hughell
- Physical Therapist
- Newbury Park, CA
National Provider Identifier
1073285706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 047924
- Practice address
- 810 Lawrence Dr Ste 100
Newbury Park, CA 91320-6615 - Phone
- (805) 667-8200
- NPI assigned
- Sep 30, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 047924 | NY | Primary |
Addresses
Primary practice location
810 Lawrence Dr Ste 100
Newbury Park, CA 91320-6615
Mailing address
5918 King James Dr
Alexandria, VA 22310-2044
Phone (703) 635-8619
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047924 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1073285706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5918 KING JAMES DR",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223102044",
"telephone_number": "703-635-8619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 LAWRENCE DR STE 100",
"city": "NEWBURY PARK",
"state": "CA",
"postal_code": "913206615",
"telephone_number": "805-667-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHELL",
"first_name": "CYNTHIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-30",
"last_updated": "2021-09-30",
"certification_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NY",
"license": "047924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newbury Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.