Active NPI
Leizl-Ann M Adolphi, PT
- Physical Therapist
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT20048
- Practice address
- 265 N Euclid Ave
#202
Pasadena, CA 91101-1594 - Phone
- (626) 356-4948
- NPI assigned
- Jan 3, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT20048 | CA | Primary |
Addresses
Primary practice location
265 N Euclid Ave
#202
Pasadena, CA 91101-1594
Mailing address
265 N Euclid Ave
#202
Pasadena, CA 91101-1594
Phone (626) 356-4948
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 841703311 | Other | CA | TAX IDENTIFICATION NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7115 Leesburg Pike
Suite 204
Falls Church, VA 22043-2301
Phone (703) 852-0997
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20048 | CA | MD | Acupuncturist |
| PT20048 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergistic Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Body Synergy Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Cosmos Physical Therapy & Wellness Corporation | Physical Therapist | Past | Accepting new patients |
| Kinetic Conditioning Institute, Inc | Physical Therapist | Past | Accepting new patients |
Locations
1224 E Green St
Ste 200
Pasadena, CA 91106
Phone (626) 356-4948
600 S Lake Ave
Ste 306
Pasadena, CA 91106
Phone (626) 356-4948
265 N Euclid Ave
Ste 202
Pasadena, CA 91101
Phone (626) 356-4948
7115 Leesburg Pike
Ste 204
Falls Church, VA 22043
Phone (703) 852-0997
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 and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Falls Church, VA
- NPI 1174276091
DC, Physical Therapist
-
- Physical Therapy Clinic/Center
- Pasadena, CA
- NPI 1891872487
Physical Therapist
-
- Physical Therapist
- Montrose, CA
- NPI 1952474066
-
- Physical Therapist
- Ontario, CA
- NPI 1609589761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282694400000",
"number": "1083761209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 N EUCLID AVE",
"address_2": "#202",
"city": "PASADENA",
"state": "CA",
"postal_code": "911011594",
"telephone_number": "626-356-4948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 N EUCLID AVE",
"address_2": "#202",
"city": "PASADENA",
"state": "CA",
"postal_code": "911011594",
"telephone_number": "626-356-4948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADOLPHI",
"first_name": "LEIZL-ANN",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2010-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT20048",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "841703311",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.