Individual provider Active NPI

William Xu, PT, DPT

  • Physical Therapist
  • Gardena, CA
National Provider Identifier
1609560960
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT304103 Issued in CA
Practice address
1045 W Redondo Beach Blvd Ste 130
Gardena, CA 90247-4129
Phone
(310) 329-1444
NPI assigned
Jun 7, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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 PT304103 CA Primary

Addresses

Primary practice location

1045 W Redondo Beach Blvd Ste 130
Gardena, CA 90247-4129

Mailing address

2312 Workman St
Los Angeles, CA 90031-2616
Phone (323) 308-8806

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231219002939 CA Practitioner - Physical Therapist in Private Practice 1254781123 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gardena Physical Therapy IncGroup PAC ID 6709129539, 6 clinicians
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

Practice addresses (Care Compare)

1045 W Redondo Beach Blvd
Suite 130
Gardena, CA 90247-4129
Phone (310) 329-1444

16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT304103CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
William Xu, Doctor of Physical Therapy, Inc. Current Accepting new patients
Gardena Physical Therapy Inc Physical Therapist CurrentSince Dec 4, 2023 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients

Locations

1045 W Redondo Beach Blvd
Ste 130
Gardena, CA 90247
Phone (310) 329-1444

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

Organizations & group practices 3

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": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1609560960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 WORKMAN ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900312616",
            "telephone_number": "323-308-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 W REDONDO BEACH BLVD STE 130",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474129",
            "telephone_number": "310-329-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "WILLIAM",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT304103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.