Active NPI
Courtney Trueblood, PT, DPT
- Orthopedic Physical Therapist
- Los Angeles, CA
National Provider Identifier
1548033491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 305147
- 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
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 |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 305147 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Physical Therapy Service, Inc. | Orthopedic | Current | Accepting new patients |
| Physicians Physical Therapy Service Inc | Past | Accepting new patients | |
| Kime Performance Nevada LLC | Past | 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.
-
- Physical Therapy Clinic/Center
- El Dorado Hills, CA
- NPI 1619334992
-
- Physical Therapy Clinic/Center
- Los Angeles, CA
- NPI 1225190473
Orthopedic
-
- Physical Therapist
- Beverly Hills, CA
- NPI 1043302508
-
- Physical Therapy Clinic/Center
- Reno, NV
- NPI 1053918185
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.