Individual provider Active NPI

Erin Likert, MPT

  • Physical Therapist
  • Seal Beach, CA
National Provider Identifier
1548587967
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT36631 Issued in CA
Practice address
12501 Seal Beach Blvd
Suite 210
Seal Beach, CA 90740-2763
Phone
(562) 493-8800
Fax
(562) 493-2980
NPI assigned
Apr 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT36631 CA Primary

Addresses

Primary practice location

12501 Seal Beach Blvd
Suite 210
Seal Beach, CA 90740-2763

Mailing address

12501 Seal Beach Blvd
Suite 210
Seal Beach, CA 90740-2763
Phone (562) 493-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT36631CAMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1548587967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 SEAL BEACH BLVD",
            "address_2": "SUITE 210",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907402763",
            "telephone_number": "562-493-8800",
            "fax_number": "562-493-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 SEAL BEACH BLVD",
            "address_2": "SUITE 210",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907402763",
            "telephone_number": "562-493-8800",
            "fax_number": "562-493-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIKERT",
        "first_name": "ERIN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-24",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT36631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seal Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.