Individual provider Active NPI

Ann Nguyen Degrey, DPT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1407233695
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
42242 Issued in CA
Practice address
5926 Monterey Rd
Los Angeles, CA 90042-4943
Phone
(323) 503-1414
Fax
(323) 967-4415
NPI assigned
Apr 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 42242 CA Primary

Addresses

Primary practice location

5926 Monterey Rd
Los Angeles, CA 90042-4943

Mailing address

3329 Community Ave
La Crescenta, CA 91214-2555
Phone (408) 966-9241

Other practice location 1

801 S Raymond Ave
Pasadena, CA 91105-3223
Phone (626) 356-0599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171220002877 CA Practitioner - Physical Therapist in Private Practice 0143588129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moti Physiotherapy IncGroup PAC ID 4587920426, 19 clinicians

Practice addresses (Care Compare)

1965 Hillhurst Ave
FL 1
Los Angeles, CA 90027-2711
Phone (323) 912-9166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42242CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Moti Physiotherapy, Inc. Physical Therapist CurrentSince Mar 1, 2018 Accepting new patients
Moti Physiotherapy, Inc. CurrentSince Oct 6, 2019 Accepting new patients
Kevin Wentz Physical Therapy Corporation Physical Therapist PastSince Jan 1, 2017 Accepting new patients

Locations

5926 Monterey Rd
Los Angeles, CA 90042
Phone (323) 503-1414

1965 Hillhurst Ave
Fl 1
Los Angeles, CA 90027
Phone (323) 912-9166

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1407233695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3329 COMMUNITY AVE",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912142555",
            "telephone_number": "408-966-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5926 MONTEREY RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900424943",
            "telephone_number": "323-503-1414",
            "fax_number": "323-967-4415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 S Raymond Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911053223",
            "country_code": "US",
            "telephone_number": "626-356-0599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEGREY",
        "first_name": "ANN",
        "middle_name": "NGUYEN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "42242",
            "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 31, 2020; 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.