Individual provider Active NPI

Loren Teolis, PHYSICAL THERAPIST

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1356285357
Registry record updated Apr 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9995 Issued in CT
Practice address
634 S Citrus Ave
Los Angeles, CA 90036-3535
Phone
(917) 859-2403
NPI assigned
Apr 18, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2026

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 9995 CT Primary

Addresses

Primary practice location

634 S Citrus Ave
Los Angeles, CA 90036-3535

Mailing address

634 S Citrus Ave
Los Angeles, CA 90036-3535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1106 N la Cienega Blvd
Suite 203
West Hollywood, CA 90069-2493

PO Box
Suite 878
Murrieta, CA 92564-0878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1776470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776470400000",
    "number": "1356285357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 S CITRUS AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 S CITRUS AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363535",
            "telephone_number": "917-859-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEOLIS",
        "first_name": "LOREN",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-18",
        "last_updated": "2026-04-18",
        "certification_date": "2026-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "9995",
            "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 Apr 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.