Individual provider Active NPI

Erik Timothy Landswick, MPT

  • Orthopedic Physical Therapist
  • Pasadena, CA
National Provider Identifier
1518062801
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT 24704 Issued in CA
Practice address
959 E Walnut St
Ste 240
Pasadena, CA 91106-1451
Phone
(626) 795-2390
Fax
(626) 795-2391
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 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 91106-5348
Phone (626) 840-7515

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070409000653 CA Practitioner - Physical Therapist in Private Practice 8325142029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

959 E Walnut St
Suite 240
Pasadena, CA 91106-5348
Phone (626) 795-2390

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24704CAMDChiropractor
PT 24704CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Landswick Physical Therapy, Inc. Orthopedic CurrentSince Jan 26, 2004 Accepting new patients

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

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1518062801",
    "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": "911065348",
            "telephone_number": "626-840-7515"
        },
        {
            "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": {
        "last_name": "LANDSWICK",
        "first_name": "ERIK",
        "middle_name": "TIMOTHY",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "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 Apr 12, 2017; 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.