Individual provider Active NPI

Patrick Thomas Faucette, R.P.T.

  • Orthopedic Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1447589445
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT17206 Issued in CA
Practice address
6404 Wilshire Blvd
Suite 750
Los Angeles, CA 90048-5501
Phone
(213) 598-5758
NPI assigned
Dec 22, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT17206 CA Primary

Addresses

Primary practice location

6404 Wilshire Blvd
Suite 750
Los Angeles, CA 90048-5501

Mailing address

1569 Ellsmere Ave
Los Angeles, CA 90019-3825
Phone (213) 598-5758

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100423000187 CA Practitioner - Physical Therapist in Private Practice 2567599582 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10640 Riverside Dr
North Hollywood, CA 91602-2319

11650 Riverside Dr
North Hollywood, CA 91602-1066
Phone (818) 643-0517

7607 Santa Monica Blvd
Suite 23
West Hollywood, CA 90046-6400
Phone (323) 454-2575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oval Physical Therapy and Sports Medicine, Inc. Orthopedic CurrentSince Mar 1, 2021 Accepting new patients
West Hollywood Neuromuscular Center Inc. Orthopedic CurrentSince Jan 17, 2010 Accepting new patients

Locations

6404 Wilshire Blvd
Ste 750
Los Angeles, CA 90048
Phone (213) 598-5758

11650 Riverside Dr
Ste 1
Studio City, CA 91602
Phone (818) 643-0517

7607 Santa Monica Blvd
Ste 23
West Hollywood, CA 90046
Phone (323) 454-2575

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1447589445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 ELLSMERE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193825",
            "telephone_number": "213-598-5758",
            "fax_number": "323-935-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 WILSHIRE BLVD",
            "address_2": "SUITE 750",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485501",
            "telephone_number": "213-598-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUCETTE",
        "first_name": "PATRICK",
        "middle_name": "THOMAS",
        "credential": "R.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-22",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT17206",
            "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 Dec 22, 2009; 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.