Individual provider Active NPI

Leizl-Ann M Adolphi, PT

  • Physical Therapist
  • Pasadena, CA
National Provider Identifier
1083761209
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20048 Issued in CA
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

Updated by the provider on Aug 25, 2010

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 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

IdentifierTypeStateIssuer
841703311OtherCATAX IDENTIFICATION NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031229000978 CA Practitioner - Physical Therapist in Private Practice 5597662478 Reassigns benefits to 1 organization
I20220331001002 DC Practitioner - Physical Therapist in Private Practice 5597662478 Reassigns benefits to 1 organization

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
Synergistic Physical Therapy PCGroup PAC ID 6103212147, 2 clinicians

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

LicenseStateTypeSpecialty
20048CAMDAcupuncturist
PT20048CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergistic Physical Therapy PC Physical Therapist CurrentSince Feb 1, 2022 Accepting new patients
Body Synergy Physical Therapy, Inc. Physical Therapist CurrentSince Mar 1, 2006 Accepting new patients
Cosmos Physical Therapy & Wellness Corporation Physical Therapist PastSince Jan 8, 2023 Accepting new patients
Kinetic Conditioning Institute, Inc Physical Therapist PastSince Sep 1, 2006 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.

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.

Verify at the official NPI Registry.