Individual provider Active NPI

Giancarlo Patti

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1568031003
Registry record updated Jun 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT300277 Issued in CA
Practice address
10309 Santa Monica Blvd Ste 200
Los Angeles, CA 90025-5007
Phone
(310) 408-5886
NPI assigned
Jun 19, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2021

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 PT300277 CA Primary

Addresses

Primary practice location

10309 Santa Monica Blvd Ste 200
Los Angeles, CA 90025-5007

Mailing address

4102 Torrance Blvd
Torrance, CA 90503-4608
Phone (310) 408-5886

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211011001386 CA Practitioner - Physical Therapist in Private Practice 8527466200 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Fabrizio Physical Therapy and Sports Medicine IncGroup PAC ID 1456448273, 7 clinicians

Practice addresses (Care Compare)

10309 Santa Monica Blvd
Suite 200
Los Angeles, CA 90025-5007
Phone (310) 553-5984

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT300277CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fabrizio Physical Therapy and Sports Medicine, Inc Physical Therapist CurrentSince Sep 15, 2021 Accepting new patients
Max Effort Physical Therapy & Performance Physical Therapist CurrentSince Nov 7, 2025 Accepting new patients

Locations

10309 Santa Monica Blvd
Ste 200
Los Angeles, CA 90025
Phone (310) 408-5886

Organizations & group practices 3

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": "1624060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624060800000",
    "number": "1568031003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 TORRANCE BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034608",
            "telephone_number": "310-408-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10309 SANTA MONICA BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255007",
            "telephone_number": "310-408-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTI",
        "first_name": "GIANCARLO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-19",
        "last_updated": "2021-06-19",
        "certification_date": "2021-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT300277",
            "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 Jun 19, 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.

Verify at the official NPI Registry.