Individual provider Active NPI

Victor Rusenescu, DPT

  • Physical Therapist
  • Newport Beach, CA
National Provider Identifier
1174857213
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
34018 Issued in CA
Practice address
2135 Westcliff Dr
Ste 203
Newport Beach, CA 92660-5512
Phone
(949) 379-8400
Fax
(949) 264-2811
NPI assigned
Sep 22, 2009
Last updated
Apr 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 34018 CA Primary

Addresses

Primary practice location

2135 Westcliff Dr
Ste 203
Newport Beach, CA 92660-5512

Mailing address

2135 Westcliff Dr
Ste 203
Newport Beach, CA 92660-5512
Phone (714) 256-5074

Other practice location 1

1800 E Lambert Rd
Suite 220
Brea, CA 92821-4370
Phone (714) 256-5074

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091109000202 CA Practitioner - Physical Therapist in Private Practice 6204974470 Reassigns benefits to 1 organization

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
Orange County Physical Therapy Ocpt IncGroup PAC ID 8325373723, 11 clinicians

Practice addresses (Care Compare)

2135 Westcliff Dr
Suite 203
Newport Beach, CA 92660-5543
Phone (949) 379-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coury & Buehler Physical Therapy - Tustin/Santa Ana, Inc. Physical Therapist PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1174857213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 WESTCLIFF DR",
            "address_2": "STE 203",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605512",
            "telephone_number": "714-256-5074",
            "fax_number": "714-256-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 WESTCLIFF DR",
            "address_2": "STE 203",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605512",
            "telephone_number": "949-379-8400",
            "fax_number": "949-264-2811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 E Lambert Rd",
            "address_2": "Suite 220",
            "address_purpose": "LOCATION",
            "city": "Brea",
            "state": "CA",
            "postal_code": "928214370",
            "country_code": "US",
            "telephone_number": "714-256-5074",
            "fax_number": "714-256-0770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSENESCU",
        "first_name": "VICTOR",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-22",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "34018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.