Active NPI
Ellen Kohler, PT, OCS
- Orthopedic Physical Therapist
- Los Angeles, CA
National Provider Identifier
1386727428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT19134
- Practice address
- 10825 Rose Ave
#101
Los Angeles, CA 90034-5360 - Phone
- (310) 202-6066
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | PT19134 | CA | Primary |
Addresses
Primary practice location
10825 Rose Ave
#101
Los Angeles, CA 90034-5360
Mailing address
10825 Rose Ave
#101
Los Angeles, CA 90034-5360
Phone (310) 202-6066
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, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13163 Fountain Park Dr
Suite a
Playa Vista, CA 90094-3067
Phone (310) 823-2220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT19134 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Playa Physical Therapy | Current | Accepting new patients | |
| Peak Performance Consulting, Inc | Orthopedic | Current | Accepting new patients |
| Holistic Physical Therapy and Wellness, Inc | Orthopedic | Current | Accepting new patients |
| Ideal Option, PLLC | Past | Accepting new patients | |
| Rehab Specialists, Inc | Orthopedic | Past | Accepting new patients |
| Made to Move Physical Therapy, Inc. | Orthopedic | Past | Accepting new patients |
Locations
12401 Wilshire Blvd
Ste 105
Los Angeles, CA 90025
Phone (310) 699-9463
13163 Fountain Park Dr
Ste A
Playa Vista, CA 90094
Phone (310) 823-2220
Organizations & group practices 6
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
- Playa Vista, CA
- NPI 1598711566
-
- Physical Therapist
- Los Angeles, CA
- NPI 1124559083
Orthopedic
-
- Orthopedic Physical Therapist
- Santa Monica, CA
- NPI 1780749697
-
- Clinic/Center
- Kennewick, WA
- NPI 1457788275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295481600000",
"number": "1386727428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10825 ROSE AVE",
"address_2": "#101",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900345360",
"telephone_number": "310-202-6066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10825 ROSE AVE",
"address_2": "#101",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900345360",
"telephone_number": "310-202-6066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHLER",
"first_name": "ELLEN",
"credential": "PT, OCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2011-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT19134",
"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 Jan 20, 2011; 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.