Active NPI
Patrick Thomas Faucette, R.P.T.
- Orthopedic Physical Therapist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT17206
- 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
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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oval Physical Therapy and Sports Medicine, Inc. | Orthopedic | Current | Accepting new patients |
| West Hollywood Neuromuscular Center Inc. | Orthopedic | Current | 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.
-
- Orthopedic Physical Therapist
- North Hollywood, CA
- NPI 1134706005
CA, Orthopedic
-
- Physical Therapist
- West Hollywood, CA
- NPI 1306177183
CA, Orthopedic
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.