Individual provider Active NPI

Erica L. Fleischauer, MS, MPT

  • Physical Therapist
  • Torrance, CA
National Provider Identifier
1124247176
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT23380 Issued in CA
Practice address
3701 Skypark Dr
Suite 260
Torrance, CA 90505-4753
Phone
(310) 791-4980
Fax
(310) 791-4989
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT 23380 CA
Physical Therapist 225100000X PT23380 CA Primary

Addresses

Primary practice location

3701 Skypark Dr
Suite 260
Torrance, CA 90505-4753

Mailing address

3701 Skypark Dr
Suite 260
Torrance, CA 90505-4753
Phone (310) 791-4980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160916002360 CA Practitioner - Physical Therapist in Private Practice 8224325352 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
23380CAMDAddiction (Substance Use Disorder) Counselor
PT 23380CAMDSpecialist
PT23380CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Goodlife Physical Medicine Corp CurrentSince Jul 12, 2016 Accepting new patients
Goodlife Physical Medicine Corp CurrentSince Jul 12, 2016 Accepting new patients
Pain and Rehabilitation Medical Group, a Medical Corporation PastSince Feb 19, 2018 Accepting new patients

Locations

1300 S Pacific Coast Hwy
Ste 201
Redondo Beach, CA 90277
Phone (310) 543-7779

2365 Seal Beach Blvd
Ste 101
Seal Beach, CA 90740
Phone (310) 543-7779

Interoperability endpoints

  • Direct secure messaging: erica.fleischauer.1@22164.direct.athenahealth.com

Organizations & group practices 3

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": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1124247176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 SKYPARK DR",
            "address_2": "SUITE 260",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054753",
            "telephone_number": "310-791-4980",
            "fax_number": "310-791-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 SKYPARK DR",
            "address_2": "SUITE 260",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054753",
            "telephone_number": "310-791-4980",
            "fax_number": "310-791-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEISCHAUER",
        "first_name": "ERICA",
        "middle_name": "L.",
        "credential": "MS, MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT  23380",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT23380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.