Individual provider Active NPI

Sheetal Sannakki, PT

  • Physical Medicine & Rehabilitation Physician
  • Los Angeles, CA
National Provider Identifier
1548615529
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT42628 Issued in CA
Practice address
1835 S la Cienega Blvd
Suite C
Los Angeles, CA 90035-4600
Phone
(310) 287-3711
Fax
(310) 287-3717
NPI assigned
Apr 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT42628 CA Primary

Addresses

Primary practice location

1835 S la Cienega Blvd
Suite C
Los Angeles, CA 90035-4600

Mailing address

4636 Talisman St
Torrance, CA 90503-1462
Phone (818) 620-4803

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160603000936 CA Practitioner - Physical Therapist in Private Practice 0941590962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantis Physical Therapy Assoc.Group PAC ID 3870558513, 7 clinicians

Practice addresses (Care Compare)

2601 Airport Dr
Suite 115
Torrance, CA 90505-6133
Phone (310) 325-7404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42628CAMDGeneral Practice Dentistry
PT42628CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Occupational Medical Group, Inc. Physical Medicine & Rehabilitation CurrentSince Feb 19, 2018 Accepting new patients
Atlantis Physical Therapy Assoc CurrentSince Mar 3, 2025 Accepting new patients

Locations

1835 S La Cienega Blvd
#C
Los Angeles, CA 90035
Phone (310) 287-3711

1809 E Dyer Rd
Ste 311
Santa Ana, CA 92705
Phone (949) 863-0022

11627 Telegraph Rd
Ste 105
Santa Fe Springs, CA 90670
Phone (562) 948-4004

2601 Airport Dr
Ste 115
Torrance, CA 90505
Phone (310) 325-7404

Organizations & group practices 2

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": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1548615529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4636 TALISMAN ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031462",
            "telephone_number": "818-620-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 S LA CIENEGA BLVD",
            "address_2": "SUITE C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900354600",
            "telephone_number": "310-287-3711",
            "fax_number": "310-287-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANNAKKI",
        "first_name": "SHEETAL",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT42628",
            "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 Apr 27, 2016; 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.