Krimson Romero Enverga, P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40215 Issued in CA

Practice address

1226 N Normandie Ave
Los Angeles, CA 90029-1420

Phone

(323) 304-1307

NPI assigned

Jan 9, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Care 1St Outpatient Physical Therapy IncGroup PAC ID 0840722070, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Care 1St Outpatient Physical Therapy Inc

  • Physical Therapist
  • Pasadena, CA
  • NPI 1891522348
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1376965392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 N NORMANDIE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291420",
            "telephone_number": "323-304-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 N NORMANDIE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291420",
            "telephone_number": "323-304-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENVERGA",
        "first_name": "KRIMSON",
        "middle_name": "ROMERO",
        "credential": "P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-09",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "40215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enterprise Clinical Solutions Inc
• Enterprise Interpreting, LLC
• Irene Alicia Entner
• Entracell Pharmacy Inc.
• Zadkiel Entsuah, PHARMD
• Envoy Health Care, Inc.
• Envoy Hospice Care Inc
• Uzoamaka Chinenye Enwerem, PHARM D
• Alexa Enyart, AMFT
• Diana Powell Enzmann, M.A.

• Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.