Erika Leigh Bandy, PT, DPT
Individual provider Active NPI Physical Therapist · La Crescenta, CA
NPI 1508335076 · NPPES record last updated Nov 14, 2018
Key facts
- NPI
- 1508335076
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 295732 (CA)
- Practice address
- 3810 La Crescenta Ave
La Crescenta, CA 91214-3914 - Phone
- (818) 369-7700
- NPI assigned
- Nov 14, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190213003210 | CA | Practitioner - Physical Therapist in Private Practice | 7315285525 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 295732 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bodyscape Integrative Physical Therapy | Physical Therapist | Current |
Accepting new patients |
Locations
3018 E Colorado Blvd
#100
Pasadena, CA 91107
Phone (626) 449-3900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 295732 | CA | Yes |
Addresses
Primary practice location
3810 La Crescenta Ave
La Crescenta, CA 91214-3914
Mailing address
839 Cypress St
Thousand Oaks, CA 91320-4141
Other providers in La Crescenta, CA
- Avanti Care Inc
- Maria Avedissian
- Christina Azatyan
- Nolan Bagalso
- Richard S Baldonado
- Sydney Lee Barney
- Jeanna M Barsamian
- Bolis Batou
- Nitika Batra
- Arax Bedrosian
All providers in La Crescenta, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.