Elizabeth Mary Poppert, D.P.T., M.S., O.C.S.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT21958

Practice address

2601 Ocean Park Blvd Ste 302
Santa Monica, CA 90405-5215

Phone

(310) 913-8480

NPI assigned

Jul 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Ethan Waldman Physical Therapy & Wellness Inc

  • Physical Therapist
  • Playa del Rey, CA
  • NPI 1588324131
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1497770226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 EUCLID ST",
            "address_2": "APT 102",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034231",
            "telephone_number": "310-266-8481",
            "fax_number": "310-315-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 OCEAN PARK BLVD STE 302",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904055215",
            "telephone_number": "310-913-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPPERT",
        "first_name": "ELIZABETH",
        "middle_name": "MARY",
        "credential": "D.P.T., M.S., O.C.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "PT21958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Michelle Ponting
• Michael C Poon, PHD
• Debra Lee Poorman
• Elizabeth Pope
• Jacquelyn Poper, LMFT
• Patrick Henry Poquiz, M.D.
• Mario G Porciello-Donnarumma, DPM
• Alyssa Nicole Porras
• Kevin Porres
• Sean Clayton Porter

• Physical Therapist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.