Individual provider Active NPI

Timothy Everitt, P.T.

  • Physical Therapist
  • Sherman Oaks, CA
National Provider Identifier
1255423455
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT16454 Issued in CA
Practice address
14116 Magnolia Blvd
Sherman Oaks, CA 91423-1119
Phone
(818) 789-3819
Fax
(818) 789-3546
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 PT16454 CA Primary

Addresses

Primary practice location

14116 Magnolia Blvd
Sherman Oaks, CA 91423-1119

Mailing address

PO Box 278
Castaic, CA 91310-0278
Phone (818) 789-3819

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040921000774 CA Practitioner - Physical Therapist in Private Practice 0446228084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vargo Physical Therapy, Inc.Group PAC ID 4486639143, 30 clinicians

Practice addresses (Care Compare)

30135 Agoura Rd
Suite C
Agoura Hills, CA 91301-4338
Phone (818) 707-7344

Merit-based Incentive Payment System (MIPS)

Final score
61.07 of 100Reported as group
Quality
51.37
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT16454CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vargo Physical Therapy, Inc. Physical Therapist CurrentSince Mar 1, 2024 Accepting new patients
Robert N. Mettam, P.T., Physical Therapist, Inc. Physical Therapist CurrentSince Jan 7, 1999 Accepting new patients
Vargo Physical Therapy, Inc Physical Therapist Past Accepting new patients
Vargo Physical Therapy, Inc. Physical Therapist Past Accepting new patients
Vargo Physical Therapy, Inc. Physical Therapist PastSince Mar 1, 2024 Accepting new patients

Locations

30135 Agoura Rd
Ste C
Agoura Hills, CA 91301
Phone (818) 707-7344

11225 Tampa Ave
Porter Ranch, CA 91326
Phone (818) 363-9970

18420 Hart St
Reseda, CA 91335
Phone (818) 344-8378

14116 Magnolia Blvd
Sherman Oaks, CA 91423
Phone (818) 789-3819

1000 Newbury Rd
Ste 135
Thousand Oaks, CA 91320
Phone (805) 214-9933

25115 Avenue Stanford
Ste B135
Valencia, CA 91355
Phone (661) 250-9940

25115 Avenue Stanford
#B135
Valencia, CA 91355

3753 E Thousand Oaks Blvd
Westlake Village, CA 91362
Phone (805) 497-7900

Organizations & group practices 5

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1255423455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "CASTAIC",
            "state": "CA",
            "postal_code": "913100278",
            "telephone_number": "818-789-3819",
            "fax_number": "818-789-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14116 MAGNOLIA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914231119",
            "telephone_number": "818-789-3819",
            "fax_number": "818-789-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERITT",
        "first_name": "TIMOTHY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT16454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.