Individual provider Active NPI

Ramsin Lee Walters, PHYSICAL THERAPIST

  • Physical Therapist
  • Woodland Hills, CA
National Provider Identifier
1457430167
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT27248 Issued in CA
Practice address
22311 Ventura Blvd
106
Woodland Hills, CA 91364-1522
Phone
(818) 888-8300
Fax
(818) 888-8390
NPI assigned
Nov 3, 2006
Last updated
Feb 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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 PT27248 CA Primary

Addresses

Primary practice location

22311 Ventura Blvd
106
Woodland Hills, CA 91364-1522

Mailing address

22311 Ventura Blvd
106
Woodland Hills, CA 91364-1522
Phone (818) 888-8300

Other names 1

  • Ramsin Betyoudokom Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040928001351 CA Practitioner - Physical Therapist in Private Practice 1850360645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22311 Ventura Blvd
Suite 106
Woodland Hills, CA 91364-1547
Phone (818) 888-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27248CAMDClinical Psychologist
PT27248CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ramsin L Walters CurrentSince Feb 23, 2009 Accepting new patients
Pacific Sports Health Management, Inc. Physical Therapist Past Accepting new patients
Huntington Rehabilitation Medicine Associates Physical Therapist Past Accepting new patients

Locations

22311 Ventura Blvd
Ste 106
Woodland Hls, CA 91364
Phone (818) 634-7208

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1457430167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22311 VENTURA BLVD",
            "address_2": "106",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641522",
            "telephone_number": "818-888-8300",
            "fax_number": "818-888-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22311 VENTURA BLVD",
            "address_2": "106",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641522",
            "telephone_number": "818-888-8300",
            "fax_number": "818-888-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "RAMSIN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2022-02-11",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT27248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAMSIN",
            "last_name": "BETYOUDOKOM",
            "credential": "PHYSICAL THERAPIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.