Axel Presenqui, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

304928 Issued in CA

Practice address

3167 Rancho Vista Blvd Ste D
Palmdale, CA 93551-5517

Phone

(661) 266-9578

NPI assigned

Oct 2, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Antelope Valley Physical Therapy, Inc.Group PAC ID 3173553062, 2 clinicians

Practice addresses (Care Compare)

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.

• Antelope Valley Physical Therapy, Inc.

  • Physical Therapist
  • Lancaster, CA
  • NPI 1598770349
  Medicare reassignment Care Compare group NPD
• Bartz-Altadonna Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Lancaster, CA
  • NPI 1811279763
  NPD (past)

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1104606722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38435 5TH ST W APT J163",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514549",
            "telephone_number": "714-615-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3167 RANCHO VISTA BLVD STE D",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935515517",
            "telephone_number": "661-266-9578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESENQUI",
        "first_name": "AXEL",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-02",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Prater, COTA
• Laura Elizabeth Preciado
• Premier Emergency Physicians of California Medical Group PC
• Premier Healthcare Services, LLC
• Premise Health of California Medical PC
• Darnell Allen Price
• Melinda Ann Price
• Roberta Price, LVN
• Tristen Marie Price, FNP-C
• Maribel Prieto

• Physical Therapist in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.