NPIMap

Organization Active NPI

Landswick Physical Therapy, Inc.

  • Physical Therapist
  • Pasadena, CA
National Provider Identifier
1477650927
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 24704 Issued in CA
Legal business name
LANDSWICK PHYSICAL THERAPY, INC.
Practice address
959 E Walnut St
Ste 240
Pasadena, CA 91106-1451
Phone
(626) 795-2390
Fax
(626) 795-2391
NPI assigned
Sep 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Erik Timothy Landswick, MPTNPI 1518062801
Title
President/Ceo
Phone
(626) 795-2390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT 24704 CA Primary

Addresses

Primary practice location

959 E Walnut St
Ste 240
Pasadena, CA 91106-1451

Mailing address

959 E Walnut St
Ste 240
Pasadena, CA 91106-1451
Phone (626) 795-2390

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070406000393 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4789788480 Receives reassigned benefits from 2 practitioners
Practice locations: Pasadena, CA

National Provider Directory

National Provider Directory

Locations

959 E Walnut St
Ste 240
Pasadena, CA 91106
Phone (626) 795-2390

2060 E Foothill Blvd
Pasadena, CA 91107
Phone (626) 795-2390

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477650927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 E WALNUT ST",
            "address_2": "STE 240",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061451",
            "telephone_number": "626-795-2390",
            "fax_number": "626-795-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 E WALNUT ST",
            "address_2": "STE 240",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061451",
            "telephone_number": "626-795-2390",
            "fax_number": "626-795-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDSWICK PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANDSWICK",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "626-795-2390",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 24704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.