Active NPI
Thabet Yosry Kerols, PSC
- Physical Therapy Assistant
- Los Angeles, CA
National Provider Identifier
1205168713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 8918
- Practice address
- 1313 W 8TH St Ste 100
Los Angeles, CA 90017-4422 - Phone
- (213) 401-1970
- NPI assigned
- Feb 8, 2010
- 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 Therapy Assistant | 225200000X | 8918 | CA | Primary |
Addresses
Primary practice location
1313 W 8TH St Ste 100
Los Angeles, CA 90017-4422
Mailing address
518 E Lexington Dr Apt 4
Glendale, CA 91206-3642
Phone (818) 913-1583
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8918 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265587200000",
"number": "1205168713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 E LEXINGTON DR APT 4",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912063642",
"telephone_number": "818-913-1583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 W 8TH ST STE 100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900174422",
"telephone_number": "213-401-1970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEROLS",
"first_name": "THABET",
"middle_name": "YOSRY",
"credential": "PSC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-08",
"last_updated": "2010-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "8918",
"primary": true
}
],
"identifiers": [],
"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 Feb 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.