Individual provider Active NPI

Saskia Van Ommeren-Egberts, DPT

  • Physical Therapist
  • West Hills, CA
National Provider Identifier
1255015657
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT304185 Issued in CA
Practice address
7320 Woodlake Ave Ste 200
West Hills, CA 91307-1482
Phone
(818) 381-5959
NPI assigned
Jun 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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 PT304185 CA Primary

Addresses

Primary practice location

7320 Woodlake Ave Ste 200
West Hills, CA 91307-1482

Mailing address

1315 Ponderosa Dr
Petaluma, CA 94954-4393
Phone (707) 364-6776

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230626000349 CA Practitioner - Physical Therapist in Private Practice 1658739529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Southern California Keck School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lurie Physical Therapy PCGroup PAC ID 2769648815, 19 clinicians

Practice addresses (Care Compare)

7320 Woodlake Ave
Suite 200
West Hills, CA 91307-1482
Phone (818) 381-5959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT304185CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lurie Physical Therapy PC Physical Therapist CurrentSince Jun 15, 2023 Accepting new patients

Locations

17071 Ventura Blvd
Ste 103
Encino, CA 91316
Phone (818) 232-4884

7320 Woodlake Ave
Ste 200
West Hills, CA 91307
Phone (818) 381-5959

Organizations & group practices 1

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": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1255015657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 PONDEROSA DR",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949544393",
            "telephone_number": "707-364-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 WOODLAKE AVE STE 200",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071482",
            "telephone_number": "818-381-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN OMMEREN-EGBERTS",
        "first_name": "SASKIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT304185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.