Individual provider Active NPI

Molly Berigan, DPT

  • Orthopedic Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1598417065
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
300344 Issued in CA
Practice address
6214 W Manchester Ave
Los Angeles, CA 90045-3801
Phone
(310) 348-8464
NPI assigned
Jan 25, 2022
Last updated
Jun 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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 300344 CA Primary

Addresses

Primary practice location

6214 W Manchester Ave
Los Angeles, CA 90045-3801

Mailing address

6214 W Manchester Ave
Los Angeles, CA 90045-3801
Phone (310) 348-8464

Other practice location 1

13163 Fountain Park Dr Ste A
Playa Vista, CA 90094-3067
Phone (310) 823-2220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250909003367 IL Practitioner - Physical Therapist in Private Practice 6507253317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Symmetry Physical Therapy LLCGroup PAC ID 4587908835, 5 clinicians

Practice addresses (Care Compare)

4361 N Lincoln Ave
Chicago, IL 60618-2186
Phone (773) 661-2990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Care, Inc CurrentSince Feb 1, 2022 Accepting new patients
Symmetry Physical Therapy, LLC Orthopedic CurrentSince Sep 1, 2025 Accepting new patients

Locations

6214 W Manchester Ave
Los Angeles, CA 90045
Phone (310) 348-8464

4223 N Lincoln Ave
Chicago, IL 60618
Phone (773) 661-2990

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": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1598417065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6214 W MANCHESTER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453801",
            "telephone_number": "310-348-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6214 W MANCHESTER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453801",
            "telephone_number": "310-348-8464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13163 Fountain Park Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Playa Vista",
            "state": "CA",
            "postal_code": "900943067",
            "country_code": "US",
            "telephone_number": "310-823-2220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERIGAN",
        "first_name": "MOLLY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-06-13",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "300344",
            "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 13, 2022; 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.