Andrew Paul Pritikin, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

35472 Issued in CA

Practice address

12401 Wilshire Blvd Ste 105
Los Angeles, CA 90025-1015

Phone

(424) 832-7211

Fax

(424) 832-3395

NPI assigned

Jan 25, 2010

Last updated

Oct 8, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blake Physical Therapy, PC

  • Orthopedic Physical Therapist
  • Santa Monica, CA
  • NPI 1750350476
  Medicare reassignment NPD
• Holistic Physical Therapy and Wellness, Inc

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1124559083
  NPD

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696723200000",
    "number": "1093046419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 WILSHIRE BLVD STE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251015",
            "telephone_number": "310-826-4100",
            "fax_number": "424-832-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 WILSHIRE BLVD STE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251015",
            "telephone_number": "424-832-7211",
            "fax_number": "424-832-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRITIKIN",
        "first_name": "ANDREW",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-25",
        "last_updated": "2023-10-08",
        "certification_date": "2023-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "35472",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "35472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priority Vision Optometry Inc
• Jessica Justine Prisk
• Prism Therapy, a Licensed Clinical Social Worker P.C.
• Hillary Edith Pritchett, M.S., M.F.T.
• Tiahzia Pritchett
• Manuel Privado-Sanchez
• Private Healthcare Facilities
• Privilege Imaging Inc
• Privilege Imaging,Inc
• Dianna Renee Privitt

• Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.