Active NPI
Saskia Van Ommeren-Egberts, DPT
- Physical Therapist
- West Hills, CA
National Provider Identifier
1255015657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT304185
- 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
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT304185 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lurie Physical Therapy PC | Physical Therapist | Current | 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.
-
- Physical Therapy Clinic/Center
- Encino, CA
- NPI 1639443690
Physical Therapist
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.