Individual provider Active NPI

Prarthana Dhotre, DR.

  • Physical Therapist
  • Montebello, CA
National Provider Identifier
1124581715
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
304723 Issued in CA
Practice address
620 N Wilcox Ave Apt C
Montebello, CA 90640-3171
Phone
(909) 674-4468
NPI assigned
Apr 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 042861 NY
Physical Therapist 225100000X 304723 CA Primary

Addresses

Primary practice location

620 N Wilcox Ave Apt C
Montebello, CA 90640-3171

Mailing address

5600 Wilshire Blvd Apt 530
Los Angeles, CA 90036-3783
Phone (909) 674-4468

Other identifiers 1

IdentifierTypeStateIssuer
LL4568436OtherCACVS STUDENT HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211015000586 MA Practitioner - Physical Therapist in Private Practice 6800120486 Reassigns benefits to 1 organization
I20231127000295 CA Practitioner - Physical Therapist in Private Practice 6800120486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select CS Physical Therapy PCGroup PAC ID 1355742081, 177 clinicians

Practice addresses (Care Compare)

5757 Wilshire Blvd
Suite 460
Los Angeles, CA 90036-3658
Phone (323) 634-0221

Merit-based Incentive Payment System (MIPS)

Final score
85.19 of 100Reported as group
Quality
86.04
Improvement activities
40
Cost
76.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
304723CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Aug 30, 2021 Accepting new patients
Select CS Physical Therapy, P.C. CurrentSince Sep 25, 2023 Accepting new patients
Select CS Physical Therapy, P.C. Physical Therapist Current Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Aug 30, 2021 Accepting new patients
Select CS Physical Therapy, P.C. CurrentSince Sep 25, 2023 Accepting new patients

Locations

5757 Wilshire Blvd
Ste 460
Los Angeles, CA 90036
Phone (323) 274-9287

2001 Wilshire Blvd
Ste 310
Santa Monica, CA 90403
Phone (310) 829-3320

790 Remington Blvd
Bolingbrook, IL 60440

33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

530 Boston Post Rd
Ste B
Sudbury, MA 01776
Phone (978) 639-4800

Organizations & group practices 5

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": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1124581715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 WILSHIRE BLVD APT 530",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363783",
            "telephone_number": "909-674-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N WILCOX AVE APT C",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403171",
            "telephone_number": "909-674-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHOTRE",
        "first_name": "PRARTHANA",
        "credential": "DR.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042861",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CVS STUDENT HEALTH PLAN",
            "identifier": "LL4568436",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.