Active NPI
Letgolts Method Physical Therapy, P.C.
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1366717456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT24350
- Legal business name
- LETGOLTS METHOD PHYSICAL THERAPY, P.C.
- Practice address
- 11740 San Vicente Blvd
Ste 206
Los Angeles, CA 90049-6610 - Phone
- (310) 979-8525
- Fax
- (310) 979-8524
- NPI assigned
- Mar 21, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Allen Letgolts, D.P.T.
- Title
- Owner/President
- Phone
- (310) 979-8525
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT24350 | CA | Primary |
Addresses
Primary practice location
11740 San Vicente Blvd
Ste 206
Los Angeles, CA 90049-6610
Mailing address
11740 San Vicente Blvd
Ste 206
Los Angeles, CA 90049-6610
Phone (310) 979-8525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Los Angeles, CA
- NPI 1144366899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332288000000",
"number": "1366717456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11740 SAN VICENTE BLVD",
"address_2": "STE 206",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900496610",
"telephone_number": "310-979-8525",
"fax_number": "310-979-8524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11740 SAN VICENTE BLVD",
"address_2": "STE 206",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900496610",
"telephone_number": "310-979-8525",
"fax_number": "310-979-8524"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LETGOLTS METHOD PHYSICAL THERAPY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-21",
"last_updated": "2012-03-21",
"status": "A",
"authorized_official_last_name": "LETGOLTS",
"authorized_official_first_name": "ALLEN",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "310-979-8525",
"authorized_official_credential": "D.P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT24350",
"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 Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.