Organization Active NPI

Andrew Pritikin Physical Therapy Inc

  • Physical Therapist
  • Santa Monica, CA
National Provider Identifier
1619244183
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
35472 Issued in CA
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

Updated by the provider on Jun 27, 2012

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.