Individual provider Active NPI

Cristina Claudia Popescu, PT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1265701353
Registry record updated Nov 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT33305 Issued in CA
Practice address
11110 Ohio Ave
105
Los Angeles, CA 90025-3388
Phone
(310) 775-1609
Fax
(310) 935-4555
NPI assigned
Dec 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2012

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 PT33305 CA Primary

Addresses

Primary practice location

11110 Ohio Ave
105
Los Angeles, CA 90025-3388

Mailing address

11110 Ohio Ave
105
Los Angeles, CA 90025-3388
Phone (310) 775-1609

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120730000097 CA Practitioner - Physical Therapist in Private Practice 6406012814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Studio Brava Physical Therapy, Inc.Group PAC ID 1850554429, 3 clinicians

Practice addresses (Care Compare)

11110 Ohio Ave
Suite 105
Los Angeles, CA 90025-6345
Phone (323) 327-2332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT33305CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brava Rehab Services, Inc Current Accepting new patients
Studio Brava Physical Therapy, Inc. Physical Therapist CurrentSince Jan 1, 2012 Accepting new patients

Locations

11110 Ohio Ave
Ste 105
Los Angeles, CA 90025
Phone (310) 775-1609

Organizations & group practices 2

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": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352764800000",
    "number": "1265701353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 OHIO AVE",
            "address_2": "105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253388",
            "telephone_number": "310-775-1609",
            "fax_number": "310-935-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 OHIO AVE",
            "address_2": "105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253388",
            "telephone_number": "310-775-1609",
            "fax_number": "310-935-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPESCU",
        "first_name": "CRISTINA",
        "middle_name": "CLAUDIA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-20",
        "last_updated": "2012-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT33305",
            "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 Nov 13, 2012; 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.