Active NPI
Bart Drewniak, PT
- Physical Therapist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT34395
- Practice address
- 10250 Santa Monica Blvd Ste 2440
Los Angeles, CA 90067-6593 - Phone
- (310) 286-0122
- NPI assigned
- Apr 9, 2008
- Sex
- Male
- 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 | PT34395 | CA | Primary |
Addresses
Primary practice location
10250 Santa Monica Blvd Ste 2440
Los Angeles, CA 90067-6593
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34395 | Other | CA | PT LICENSE |
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, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12811 Victory Blvd
Valley Glen, CA 91606-3012
Phone (323) 470-9846
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT34395 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Advantage Physical Medicine Inc | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Jam Sports Inc | Physical Therapist | Current | Accepting new patients |
| Im Physical Therapy Inc | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Jose Dalprat a Professional Medical Corporation | Past | Accepting new patients |
Locations
1000 Flower St
Glendale, CA 91201
Phone (818) 659-5000
File 59755
Los Angeles, CA 90074
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
10250 Santa Monica Blvd
Ste 2440
Los Angeles, CA 90067
Phone (310) 286-0122
2555 E Colorado Blvd
Ste 204
Pasadena, CA 91107
Phone (626) 449-9910
1450 N Lake Ave
Pasadena, CA 91104
Phone (626) 564-4240
2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381
100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500
12811 Victory Blvd
Valley Glen, CA 91606
Phone (323) 470-9846
Organizations & group practices 6
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.
-
- Physical Medicine & Rehabilitation Physician
- Pasadena, CA
- NPI 1851799332
-
- Orthopedic Physical Therapist
- Pasadena, CA
- NPI 1407458631
-
- Internal Medicine Physician
- Glendale, CA
- NPI 1891110888
-
- Durable Medical Equipment & Medical Supplies
- Woodland Hills, CA
- NPI 1083063127
-
- Family Nurse Practitioner
- Los Angeles, CA
- NPI 1821599804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635811200000",
"number": "1154594240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10250 SANTA MONICA BLVD STE 2440",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900676593",
"telephone_number": "310-286-0122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREWNIAK",
"first_name": "BART",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-09",
"last_updated": "2021-11-02",
"certification_date": "2021-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT34395",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "34395",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.