Active NPI
Kersti Marusich, DPT
- Physical Therapist
- Culver City, CA
National Provider Identifier
1124569926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5000
- Practice address
- 5601 W Slauson Ave Ste 125
Culver City, CA 90230-6588 - Phone
- (310) 539-8800
- Fax
- (424) 203-8389
- NPI assigned
- Mar 13, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 5000 | NM | Primary |
Addresses
Primary practice location
5601 W Slauson Ave Ste 125
Culver City, CA 90230-6588
Mailing address
PO Box 235
Palos Verdes Estates, CA 90274-0235
Phone (310) 539-8800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
10309 Santa Monica Blvd
Suite 200
Los Angeles, CA 90025-5007
Phone (310) 553-5984
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fabrizio Physical Therapy and Sports Medicine, Inc | Physical Therapist | Current | Accepting new patients |
Locations
10309 Santa Monica Blvd
Ste 200
Los Angeles, CA 90025
Phone (310) 408-5886
Organizations & group practices 1
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.
-
- Specialist
- Los Angeles, CA
- NPI 1770650277
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647475200000",
"number": "1124569926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 235",
"city": "PALOS VERDES ESTATES",
"state": "CA",
"postal_code": "902740235",
"telephone_number": "310-539-8800",
"fax_number": "424-203-8389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 W SLAUSON AVE STE 125",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902306588",
"telephone_number": "310-539-8800",
"fax_number": "424-203-8389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARUSICH",
"first_name": "KERSTI",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-13",
"last_updated": "2022-03-17",
"certification_date": "2022-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "5000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.