Individual provider Active NPI

Lisa Zhao Alletto, PT

  • Orthopedic Physical Therapist
  • El Segundo, CA
National Provider Identifier
1275165193
Registry record updated Feb 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
298041 Issued in CA
Practice address
111 Penn St
El Segundo, CA 90245-3908
Phone
(310) 426-9570
NPI assigned
Feb 8, 2020
Last updated
Feb 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 298041 CA Primary

Addresses

Primary practice location

111 Penn St
El Segundo, CA 90245-3908

Mailing address

111 Penn St
El Segundo, CA 90245-3908
Phone (310) 426-9570

Other practice location 1

1015 Hope St Ste F
South Pasadena, CA 91030-2510
Phone (626) 360-6092

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200323000499 CA Practitioner - Physical Therapist in Private Practice 9931537115 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tag Physical Therapy IncGroup PAC ID 6103834171, 16 clinicians

Practice addresses (Care Compare)

501 Deep Valley Dr
Suite 200
Rolling Hills Estates, CA 90274-7608
Phone (310) 426-9570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tag Physical Therapy, Inc Orthopedic CurrentSince Feb 24, 2020 Accepting new patients
Mariners Physical Therapy, Inc. Orthopedic CurrentSince Feb 24, 2020 Accepting new patients

Locations

111 Penn St
El Segundo, CA 90245
Phone (310) 426-9570

501 Deep Valley Dr
Ste 200
Rolling Hills Estates, CA 90274
Phone (310) 377-0710

201 Sandpointe Ave
Ste 130
Santa Ana, CA 92707
Phone (714) 557-9292

1015 Hope St
Ste F
South Pasadena, CA 91030
Phone (626) 360-6092

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581120000000",
    "number": "1275165193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PENN ST",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902453908",
            "telephone_number": "310-426-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PENN ST",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902453908",
            "telephone_number": "310-426-9570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 Hope St Ste F",
            "address_purpose": "LOCATION",
            "city": "South Pasadena",
            "state": "CA",
            "postal_code": "910302510",
            "country_code": "US",
            "telephone_number": "626-360-6092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLETTO",
        "first_name": "LISA",
        "middle_name": "ZHAO",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-08",
        "last_updated": "2020-02-08",
        "certification_date": "2020-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "298041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2020; 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.