Organization Active NPI

Amy Fee Physical Therapy Inc

  • Physical Therapist
  • Santa Monica, CA
National Provider Identifier
1184733818
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27397 Issued in CA
Legal business name
AMY FEE PHYSICAL THERAPY INC
Practice address
3435 Ocean Park Blvd Ste 111
Santa Monica, CA 90405-3318
Phone
(310) 393-1703
Fax
(310) 943-0462
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Amy Brooke Fee, DPT MPT ATC CSCSNPI 1427274869
Title
Owner Physical Therapist
Phone
(310) 393-1703

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 27397 CA Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 7030 CO

Addresses

Primary practice location

3435 Ocean Park Blvd Ste 111
Santa Monica, CA 90405-3318

Mailing address

3435 Ocean Park Blvd Ste 111
Santa Monica, CA 90405-3318
Phone (310) 393-1703

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ08333ZOtherBLUE SHIELD
0007251525OtherAETNA

Other names 1

  • Westside Wellness & Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080408000850 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9739266248 Receives reassigned benefits from 2 practitioners
Practice locations: Santa Monica, CA

National Provider Directory

National Provider Directory

Locations

900 Wilshire Blvd
Ste 420
Santa Monica, CA 90401
Phone (310) 393-1702

3435 Ocean Park Blvd
Ste 111
Santa Monica, CA 90405
Phone (310) 393-1703

1448 15th St
Ste 101
Santa Monica, CA 90404
Phone (310) 393-1703

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1184733818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 OCEAN PARK BLVD STE 111",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053318",
            "telephone_number": "310-393-1703",
            "fax_number": "310-943-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 OCEAN PARK BLVD STE 111",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053318",
            "telephone_number": "310-393-1703",
            "fax_number": "310-943-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY FEE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "FEE",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "310-393-1703",
        "authorized_official_credential": "DPT MPT ATC CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "27397",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "7030",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ08333Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007251525",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westside Wellness & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.