Individual provider Active NPI

Amy Brooke Fee, DPT, OCS, ATC, CSCS

  • Orthopedic Physical Therapist
  • Santa Monica, CA
National Provider Identifier
1427274869
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
27397 Issued in CA
Practice address
1448 15TH St
Suite 101
Santa Monica, CA 90404-2756
Phone
(310) 393-1703
Fax
(310) 943-0462
NPI assigned
Apr 17, 2007
Last updated
Jul 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 27397 CA
Sports Physical Therapist 2251S0007X 27397 CA
Orthopedic Physical Therapist 2251X0800X 27397 CA Primary
Athletic Trainer 2255A2300X CERT # 099402403 CO

Addresses

Primary practice location

1448 15TH St
Suite 101
Santa Monica, CA 90404-2756

Mailing address

1448 15TH St
Suite 101
Santa Monica, CA 90404-2756
Phone (310) 393-1703

Other identifiers 4

IdentifierTypeStateIssuer
7030OtherCOPT LICENSE NUMBER
W22042OtherCAMEDICARE PTAN
7521525OtherCAAETNA
ZZZ08333ZOtherCABLUE SHIELD

Other names 1

  • Amy Brooke Peach Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040330001886 CA Practitioner - Physical Therapist in Private Practice 4789676875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Amy Fee Physical Therapy IncGroup PAC ID 9739266248, 2 clinicians

Practice addresses (Care Compare)

3435 Ocean Park Blvd
Suite 111
Santa Monica, CA 90405-3318
Phone (310) 393-1703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CERT # 099402403COMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Fee Physical Therapy Inc Physical Therapist CurrentSince Mar 1, 2008 Accepting new patients
The Cypress Center, a Physical Therapy Corporation Physical Therapist PastSince Mar 1, 2021 Accepting new patients
Westside Hand Therapy Inc. Physical Therapist PastSince Jan 5, 2004 Accepting new patients
Cypress Physical Therapy Center, Inc. Physical Therapist PastSince Sep 24, 2023 Accepting new patients

Locations

1448 15th St
Ste 101
Santa Monica, CA 90404
Phone (310) 393-1703

3435 Ocean Park Blvd
Ste 111
Santa Monica, CA 90405
Phone (310) 393-1703

900 Wilshire Blvd
Ste 420
Santa Monica, CA 90401
Phone (310) 393-1702

Organizations & group practices 4

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1427274869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 15TH ST",
            "address_2": "SUITE 101",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042756",
            "telephone_number": "310-393-1703",
            "fax_number": "310-943-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 15TH ST",
            "address_2": "SUITE 101",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042756",
            "telephone_number": "310-393-1703",
            "fax_number": "310-943-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEE",
        "first_name": "AMY",
        "middle_name": "BROOKE",
        "credential": "DPT, OCS, ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "27397",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "27397",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "27397",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CO",
            "license": "CERT # 099402403",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE NUMBER",
            "identifier": "7030",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W22042",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7521525",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ08333Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "PEACH",
            "middle_name": "BROOKE",
            "credential": "DPT, OCS, ATC, CSCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.