Active NPI
Leslie Jean Dykstra-Ordanes, P.T.
- Physical Therapist
- Los Alamitos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT21523
- Practice address
- 5122 Katella Ave Ste 16
Los Alamitos, CA 90720-2838 - Phone
- (562) 795-5295
- NPI assigned
- Dec 18, 2012
- Last updated
- Jan 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT21523 | CA | Primary |
Addresses
Primary practice location
5122 Katella Ave Ste 16
Los Alamitos, CA 90720-2838
Mailing address
5530 E Hanbury St
Long Beach, CA 90808-2005
Phone (562) 682-1884
Other practice location 1
9470 Firestone Blvd.
Downey, CA 90241
Phone (562) 401-4094
Other names 1
- Ms. Leslie Jean Dykstra
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Southern California Keck School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4220 Katella Ave
Los Alamitos, CA 90720-3511
Phone (562) 342-9994
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT21523 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JRD Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Nifty After Fifty | Physical Therapist | Past | Accepting new patients |
| Alamitos Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Trinh M Doan, Inc. | Physical Therapist | Past | Accepting new patients |
| Naf Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Locations
4220 Katella Ave
Los Alamitos, CA 90720
Phone (562) 342-9994
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Los Alamitos, CA
- NPI 1255875431
-
- Physical Therapist
- Los Alamitos, CA
- NPI 1891782231
-
- Physical Therapist
- Los Alamitos, CA
- NPI 1437169059
-
- Physical Medicine & Rehabilitation Physician
- Katy, TX
- NPI 1831429687
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611273600000",
"number": "1528304698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5530 E HANBURY ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908082005",
"telephone_number": "562-682-1884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5122 KATELLA AVE STE 16",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907202838",
"telephone_number": "562-795-5295"
}
],
"practiceLocations": [
{
"address_1": "9470 Firestone Blvd.",
"address_purpose": "LOCATION",
"city": "Downey",
"state": "CA",
"postal_code": "90241",
"country_code": "US",
"telephone_number": "562-401-4094",
"fax_number": "562-803-9423",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DYKSTRA-ORDANES",
"first_name": "LESLIE",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-18",
"last_updated": "2021-01-22",
"certification_date": "2021-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT21523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LESLIE",
"last_name": "DYKSTRA",
"middle_name": "JEAN",
"prefix": "MS.",
"credential": "P.T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Los Alamitos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.