Organization Active NPI

Letgolts Method Physical Therapy, P.C.

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1366717456
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24350 Issued in CA
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

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Allen Letgolts, D.P.T.NPI 1144366899
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20120511000160 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2567625452 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.