Individual provider Active NPI

Nick Crooks, DPT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1588134233
Registry record updated Sep 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
295959 Issued in CA
Practice address
10390 Santa Monica Blvd Ste 220
Los Angeles, CA 90025-6960
Phone
(310) 953-6003
NPI assigned
Nov 26, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 295959 CA Primary

Addresses

Primary practice location

10390 Santa Monica Blvd Ste 220
Los Angeles, CA 90025-6960

Mailing address

10390 Santa Monica Blvd Ste 220
Los Angeles, CA 90025-6960
Phone (310) 953-6003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190204001641 CA Practitioner - Physical Therapist in Private Practice 7113264888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10390 Santa Monica Blvd
Suite 220
Los Angeles, CA 90025-6960
Phone (310) 953-6003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
295959CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Crooks Physical Therapy and Sports PC Single Specialty CurrentSince Aug 19, 2021 Accepting new patients

Locations

10390 Santa Monica Blvd
Ste 220
Los Angeles, CA 90025
Phone (310) 659-9911

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, 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": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630886400000",
    "number": "1588134233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10390 SANTA MONICA BLVD STE 220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256960",
            "telephone_number": "310-953-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10390 SANTA MONICA BLVD STE 220",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256960",
            "telephone_number": "310-953-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOKS",
        "first_name": "NICK",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-26",
        "last_updated": "2021-09-06",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "295959",
            "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 6, 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.