Individual provider Active NPI

Elson Lai, M.P.T.

  • Physical Therapist
  • Studio City, CA
National Provider Identifier
1578818019
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
39233 Issued in CA
Practice address
12930 Ventura Blvd
Suite 226a
Studio City, CA 91604-2200
Phone
(818) 907-0008
Fax
(818) 907-0088
NPI assigned
Jul 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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 39233 CA Primary

Addresses

Primary practice location

12930 Ventura Blvd
Suite 226a
Studio City, CA 91604-2200

Mailing address

12930 Ventura Blvd
Suite 226a
Studio City, CA 91604-2200
Phone (818) 907-0008

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121002000246 CA Practitioner - Physical Therapist in Private Practice 6103073739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Restorative Arts Physical Therapy IncGroup PAC ID 5092705111, 6 clinicians

Practice addresses (Care Compare)

12930 Ventura Blvd
Suite 226a
Studio City, CA 91604-2200
Phone (818) 907-0008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39233CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Arts Physical Therapy Inc Physical Therapist CurrentSince Jul 19, 2012 Accepting new patients

Locations

12930 Ventura Blvd
Ste 226A
Studio City, CA 91604
Phone (818) 729-9419

Organizations & group practices 1

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": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1578818019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12930 VENTURA BLVD",
            "address_2": "SUITE 226A",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042200",
            "telephone_number": "818-907-0008",
            "fax_number": "818-907-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12930 VENTURA BLVD",
            "address_2": "SUITE 226A",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042200",
            "telephone_number": "818-907-0008",
            "fax_number": "818-907-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI",
        "first_name": "ELSON",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "39233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.