Active NPI
Eric Scott Lederhaus, D.P.T.
- Orthopedic Physical Therapist
- Menlo Park, CA
National Provider Identifier
1578875423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 35800
- Practice address
- 68 Willow Rd
Menlo Park, CA 94025-3653 - Phone
- (650) 309-1193
- NPI assigned
- Jul 8, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 35800 | CA | Primary |
| Physical Therapist | 225100000X | 35800 | CA |
Addresses
Primary practice location
68 Willow Rd
Menlo Park, CA 94025-3653
Mailing address
970 Monument Street
Suite 207
Pacific Palisades, CA 90272
Phone (310) 573-9553
Other practice location 1
970 Monument Street
Suite 207
Pacific Palisades, CA 90272
Phone (310) 573-9553
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cypress Physical Therapy Center, Inc. | Physical Therapist | Past | Accepting new patients |
| North Carolina Luna Care Physical Therapy LLC | Physical Therapist | Past | 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 and National Provider Directory roles.
-
- Orthopedic Physical Therapist
- Pacific Palisades, CA
- NPI 1831977230
-
- Physical Therapist
- Hendersonville, NC
- NPI 1124626148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568851200000",
"number": "1578875423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "970 MONUMENT STREET",
"address_2": "SUITE 207",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "90272",
"telephone_number": "310-573-9553",
"fax_number": "310-573-9533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 WILLOW RD",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940253653",
"telephone_number": "650-309-1193"
}
],
"practiceLocations": [
{
"address_1": "970 Monument Street",
"address_2": "Suite 207",
"address_purpose": "LOCATION",
"city": "Pacific Palisades",
"state": "CA",
"postal_code": "90272",
"country_code": "US",
"telephone_number": "310-573-9553",
"fax_number": "310-573-9533",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEDERHAUS",
"first_name": "ERIC",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-08",
"last_updated": "2019-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "35800",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "35800",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.