Individual provider Active NPI

Lauren Freitas, DPT

  • Orthopedic Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1568866184
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
41559 Issued in CA
Practice address
10877 Wilshire Blvd
Ste P1
Los Angeles, CA 90024-4413
Phone
(805) 878-4046
NPI assigned
Oct 9, 2014
Last updated
Sep 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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 41559 CA Primary

Addresses

Primary practice location

10877 Wilshire Blvd
Ste P1
Los Angeles, CA 90024-4413

Mailing address

10877 Wilshire Blvd
Ste P1
Los Angeles, CA 90024-4413
Phone (805) 878-4046

Other practice location 1

4820 Lincoln Blvd
Marina Del Rey, CA 90292-6917
Phone (310) 822-0041

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
41559CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic Lab Physical Therapy and Performance Training Current Accepting new patients
Next Phase Medical PC PastSince Sep 28, 2025 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1568866184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10877 WILSHIRE BLVD",
            "address_2": "STE P1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244413",
            "telephone_number": "805-878-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10877 WILSHIRE BLVD",
            "address_2": "STE P1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244413",
            "telephone_number": "805-878-4046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4820 Lincoln Blvd",
            "address_purpose": "LOCATION",
            "city": "Marina Del Rey",
            "state": "CA",
            "postal_code": "902926917",
            "country_code": "US",
            "telephone_number": "310-822-0041",
            "fax_number": "310-822-0049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREITAS",
        "first_name": "LAUREN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-09",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "41559",
            "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 Sep 10, 2020; 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.