Individual provider Active NPI

Courtney Trueblood, PT, DPT

  • Orthopedic Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1548033491
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
305147 Issued in CA
Practice address
10474 Santa Monica Blvd Ste 435
Los Angeles, CA 90025-6932
Phone
(310) 275-4137
NPI assigned
Nov 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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 305147 CA Primary

Addresses

Primary practice location

10474 Santa Monica Blvd Ste 435
Los Angeles, CA 90025-6932

Mailing address

10474 Santa Monica Blvd Ste 435
Los Angeles, CA 90025-6932
Phone (310) 275-4137

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231206002304 CA Practitioner - Physical Therapist in Private Practice 8628427317 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Western University of Health Sciences College of Dental Med, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Mikla Dunning Physical Therapy Systems PCGroup PAC ID 0941592067, 31 clinicians

Practice addresses (Care Compare)

1010 E Bidwell St
Folsom, CA 95630-5552
Phone (916) 905-6378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
305147CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Physical Therapy Service, Inc. Orthopedic CurrentSince Nov 29, 2023 Accepting new patients
Physicians Physical Therapy Service Inc PastSince Nov 5, 2023 Accepting new patients
Kime Performance Nevada LLC PastSince Jul 12, 2024 Accepting new patients

Locations

10474 Santa Monica Blvd
Ste 435
Los Angeles, CA 90025
Phone (310) 275-4137

7230 Medical Ctr
Ste 401
West Hills, CA 91307
Phone (747) 888-3562

Organizations & group practices 4

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": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1548033491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10474 SANTA MONICA BLVD STE 435",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256932",
            "telephone_number": "310-275-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10474 SANTA MONICA BLVD STE 435",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256932",
            "telephone_number": "310-275-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUEBLOOD",
        "first_name": "COURTNEY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "305147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.