Individual provider Active NPI

Haley Yip, DPT

  • Physical Therapist
  • Westlake Village, CA
National Provider Identifier
1467843532
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT41578 Issued in CA
Practice address
1094 Glenbridge Cir
Westlake Village, CA 91361-3323
Phone
(913) 522-6640
NPI assigned
Feb 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 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 PT41578 CA Primary

Addresses

Primary practice location

1094 Glenbridge Cir
Westlake Village, CA 91361-3323

Mailing address

12424 Wilshire Blvd
1110
Los Angeles, CA 90025-1052
Phone (310) 826-3919

Other practice location 1

12424 Wilshire Blvd
1110
Los Angeles, CA 90025-1052
Phone (310) 826-3919

Other identifiers 1

IdentifierTypeStateIssuer
PT41578OtherCAPHYSICAL THERAPY BOARD OF CALIFORNIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150427001499 CA Practitioner - Physical Therapist in Private Practice 9133448038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Herman Ostrow School of Dentistry of Usc, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mbody Physical Therapy and Wellness IncGroup PAC ID 3173972858, 2 clinicians

Practice addresses (Care Compare)

5703 Corsa Ave
Suite 201
Westlake Village, CA 91362-4001
Phone (805) 750-0209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41578CAMDGeneral Practice Dentistry
PT41578CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mbody Physical Therapy and Wellness Inc. Physical Therapist CurrentSince Mar 2, 2022 Accepting new patients

Locations

5703 Corsa Ave
Ste 201
Westlake Village, CA 91362
Phone (805) 750-0209

Organizations & group practices 1

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": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1467843532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12424 WILSHIRE BLVD",
            "address_2": "1110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251052",
            "telephone_number": "310-826-3919",
            "fax_number": "310-826-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1094 GLENBRIDGE CIR",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613323",
            "telephone_number": "913-522-6640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12424 Wilshire Blvd",
            "address_2": "1110",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900251052",
            "country_code": "US",
            "telephone_number": "310-826-3919",
            "fax_number": "310-826-3724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YIP",
        "first_name": "HALEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-11",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT41578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
            "identifier": "PT41578",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.