Darwin Lance Fogt, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT26595 Issued in CA

Practice address

11825 Major St
Culver City, CA 90230-6356

Phone

(310) 915-6100

Fax

(310) 915-0100

NPI assigned

May 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Phzio Florida PA

  • Physical Therapist
  • Culver City, CA
  • NPI 1023662913
  Authorized official Same address or phone
• Phzio Physical Therapy of California PC

  • Physical Therapist
  • Culver City, CA
  • NPI 1124672001
  Authorized official Same address or phone
• Phzio Physical Therapy of New Jersey PC

  • Physical Therapist
  • Culver City, CA
  • NPI 1952955833
  Authorized official Same address or phone
• Ewellness Corporation

  • Physical Therapist
  • New York, NY
  • NPI 1306252986
  Authorized official Same address or phone
• Next Phase Medical PC

  • General Practice Physician
  • Culver City, CA
  • NPI 1821961863
  NPD

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259539200000",
    "number": "1295782894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 CULVER BLVD",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937784",
            "telephone_number": "310-915-6100",
            "fax_number": "310-915-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11825 MAJOR ST",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306356",
            "telephone_number": "310-915-6100",
            "fax_number": "310-915-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGT",
        "first_name": "DARWIN",
        "middle_name": "LANCE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2009-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT26595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Flores
• Flow Health Laboratories LLC
• Averi Mason Floyd
• Tynisha Floyd, BA, CPT1
• Junior Fogg
• Stella Fominyam
• Maritza Fomond, RN
• Abigail Hennessee Fonner
• Tanya Ford
• Solomon N Forouzesh, M.D.

• Physical Therapist in Culver City, CA
• Providers in Culver City, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.