Boris Litvinov, R.P.T., D.P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT24989 Issued in CA

Practice address

11710 Wilshire Blvd
Los Angeles, CA 90025-1503

Phone

(310) 494-1422

Fax

(310) 496-0868

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lotus Physical Therapy Inc

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1609862606

  Orthopedic

  Medicare reassignment NPD

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1497841555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11710 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251503",
            "telephone_number": "310-494-1422",
            "fax_number": "310-496-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11710 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251503",
            "telephone_number": "310-494-1422",
            "fax_number": "310-496-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITVINOV",
        "first_name": "BORIS",
        "name_prefix": "Mr.",
        "credential": "R.P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT24989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zackary Littman
• Carla Litto, LMFT
• Frank Litvack, MD
• Windy Litvak, M.F.T.
• Eleonora Litvina
• Larisa Litvinov, PH.D.
• Mark Litwin, MD
• Andrew Benjamin Liu-Chen, MD
• Aihong Liu, M.D., PH.D.
• Alice Liu, MD

• Orthopedic Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.