Individual provider Active NPI

Eric Michael Hultquist, PT, DPT, CSCS

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1306410774
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
298913 Issued in CA
Practice address
6080 Center Dr FL 6
Los Angeles, CA 90045-9205
Phone
(888) 859-0145
NPI assigned
May 19, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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 298913 CA Primary

Addresses

Primary practice location

6080 Center Dr FL 6
Los Angeles, CA 90045-9205

Mailing address

PO Box 1295
Venice, CA 90294-1295
Phone (888) 859-0145

Other practice location 1

1600 Main St Fl 2
Venice, CA 90291-3626
Phone (888) 859-0145

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210607000857 CA Practitioner - Physical Therapist in Private Practice 4587064985 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sun and Tran Physical Therapy ApcGroup PAC ID 3375024805, 3 clinicians
Kulagy Physical Therapy PCGroup PAC ID 9638459621, 17 clinicians

Practice addresses (Care Compare)

325 N Altadena Dr
Suite 100
Pasadena, CA 91107-3369
Phone (626) 793-0523

6060 Ctr Dr
FL 10
Los Angeles, CA 90045-1598
Phone (888) 859-0145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
298913CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sun & Tran Physical Therapy Apc CurrentSince Apr 27, 2025 Accepting new patients

Locations

325 N Altadena Dr
Ste 100
Pasadena, CA 91107
Phone (626) 793-0441

Organizations & group practices 3

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": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1306410774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1295",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902941295",
            "telephone_number": "888-859-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 CENTER DR FL 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900459205",
            "telephone_number": "888-859-0145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Main St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "CA",
            "postal_code": "902913626",
            "country_code": "US",
            "telephone_number": "888-859-0145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HULTQUIST",
        "first_name": "ERIC",
        "middle_name": "MICHAEL",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-19",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "298913",
            "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 Aug 15, 2024; 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.