Active NPI
Timothy Everitt, P.T.
- Physical Therapist
- Sherman Oaks, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT16454
- 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
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 | 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
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
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 100
- Quality
- 51.37
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT16454 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vargo Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Robert N. Mettam, P.T., Physical Therapist, Inc. | Physical Therapist | Current | 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 | Past | 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.
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-
- Physical Therapist
- Agoura Hills, CA
- NPI 1427157122
-
- Physical Therapist
- Burbank, CA
- NPI 1104316827
-
- Physical Therapist
- Northridge, CA
- NPI 1386768539
-
- Physical Therapist
- Westlake Village, CA
- NPI 1467754796
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.