Active NPI
Andrew Pritikin Physical Therapy Inc
- Physical Therapist
- Santa Monica, CA
National Provider Identifier
1619244183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 35472
- Legal business name
- ANDREW PRITIKIN PHYSICAL THERAPY INC
- Practice address
- 1540 2ND St
Suite 109a
Santa Monica, CA 90401-2303 - Phone
- (310) 460-7490
- Fax
- (310) 434-1018
- NPI assigned
- Nov 28, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew Paul Pritikin, DPT
- Title
- Owner
- Phone
- (310) 649-5523
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 35472 | CA | Primary |
Addresses
Primary practice location
1540 2ND St
Suite 109a
Santa Monica, CA 90401-2303
Mailing address
7537 W 85TH St
Playa del Rey, CA 90293-8802
Phone (310) 649-5523
National Provider Directory
National Provider DirectoryLocations
11500 W Olympic Blvd
Ste 506
Los Angeles, CA 90064
Phone (424) 832-7211
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Gilbert, AZ
- NPI 1487810214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340755200000",
"number": "1619244183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7537 W 85TH ST",
"city": "PLAYA DEL REY",
"state": "CA",
"postal_code": "902938802",
"telephone_number": "310-649-5523",
"fax_number": "310-649-5523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 2ND ST",
"address_2": "SUITE 109A",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904012303",
"telephone_number": "310-460-7490",
"fax_number": "310-434-1018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDREW PRITIKIN PHYSICAL THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-28",
"last_updated": "2012-06-27",
"status": "A",
"authorized_official_last_name": "PRITIKIN",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-649-5523",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "35472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.