August Benjamin Privratsky Jr., PT, CP

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

29431 Issued in CA

Practice address

210 Newport Center Dr Ste 3
Newport Beach, CA 92660-7505

Phone

(760) 277-4034

Fax

(949) 719-2600

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Webb Physical Therapy Inc

  • Physical Therapist
  • Provo, UT
  • NPI 1306891080
  NPD (past)
• Webb Physical Therapy Inc.

  • Physical Therapist
  • South Ogden, UT
  • NPI 1689627564
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1467589358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 S HAYWARD ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043823",
            "telephone_number": "760-277-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 NEWPORT CENTER DR STE 3",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607505",
            "telephone_number": "760-277-4034",
            "fax_number": "949-719-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "828 S Hayward St",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928043823",
            "country_code": "US",
            "telephone_number": "760-277-4034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIVRATSKY",
        "first_name": "AUGUST",
        "middle_name": "BENJAMIN",
        "name_suffix": "Jr.",
        "credential": "PT, CP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "1797",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "350182-2401",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1079887",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "29431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROSTHETIST, DME SUPPLIER",
            "identifier": "6147910001",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "webroot",
            "affiliation": "N",
            "address_1": "828 S Hayward St",
            "city": "Anaheim",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928043823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Primavera Recovery
• Prime Surgical Center of Newport Beach, LLC
• Rayeonne Pritchett
• Private Physicians Medical Associates
• Private Physicians Medical Associates
• Cheryl A. Procaccini
• Judith Ruth Profant, PHD, CBSM
• Professional Partners Inc
• Rosalie Ann Proffer, MA LMFT MARRIAGE FAM
• Prohealth Partners a Medical Group Inc

• Physical Therapist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.