Active NPI
Leslie Davis Rudzinski, PT
- Orthopedic Physical Therapist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT14916
- Practice address
- 10351 Santa Monica Blvd Ste 101
Los Angeles, CA 90025-6943 - Phone
- (310) 286-0447
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT14916 | CA | Primary |
Addresses
Primary practice location
10351 Santa Monica Blvd Ste 101
Los Angeles, CA 90025-6943
Mailing address
10351 Santa Monica Blvd Ste 101
Los Angeles, CA 90025-6943
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10351 Santa Monica Blvd
Suite 101
Los Angeles, CA 90025-6943
Phone (310) 286-0447
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14916 | CA | MD | Optometrist |
| PT14916 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prosport Physical Therapy Professionals Inc | Orthopedic | Current | Accepting new patients |
| Prosport Physical Therapy Professionals Inc | Current | Accepting new patients | |
| Prosport Physical Therapy Professionals Inc | Orthopedic | Current | Accepting new patients |
Locations
559 E Carson St
Ste B
Carson, CA 90745
Phone (424) 201-5242
26672 Portola Pkwy
Ste 116
Foothill Rnch, CA 92610
Phone (714) 450-4999
10351 Santa Monica Blvd
Ste 101
Los Angeles, CA 90025
Phone (310) 286-0447
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Costa Mesa, CA
- NPI 1073170437
Orthopedic
-
- Physical Therapist
- Los Angeles, CA
- NPI 1760580351
-
- Physical Therapist
- Rancho Palos Verdes, CA
- NPI 1487648341
Orthopedic
-
- Physical Therapy Clinic/Center
- Mission Viejo, CA
- NPI 1922031731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1356449540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10351 SANTA MONICA BLVD STE 101",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900256943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10351 SANTA MONICA BLVD STE 101",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900256943",
"telephone_number": "310-286-0447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDZINSKI",
"first_name": "LESLIE",
"middle_name": "DAVIS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT14916",
"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 May 1, 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.