Individual provider Active NPI

Angela K Prescott, P.T.

  • Physical Therapist
  • La Quinta, CA
National Provider Identifier
1619913662
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19355 Issued in CA
Practice address
78445 Highway 111
La Quinta, CA 92253-2076
Phone
(760) 564-3414
Fax
(760) 777-9545
NPI assigned
Jun 20, 2006
Last updated
Mar 19, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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 PT19355 CA Primary

Addresses

Primary practice location

78445 Highway 111
La Quinta, CA 92253-2076

Mailing address

78445 Highway 111
La Quinta, CA 92253-2076
Phone (760) 564-3414

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040706000901 CA Practitioner - Physical Therapist in Private Practice 5799762274 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

36945 Cook St
Suite 103
Palm Desert, CA 92211-6077
Phone (760) 324-6400

78365 Hwy 111
Suite 167
La Quinta, CA 92253-2071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT19355CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT Works Inc Physical Therapist CurrentSince Jul 12, 2021 Accepting new patients
Angela K Prescott CurrentSince Sep 1, 1999 Accepting new patients
Advantage Therapy Inc. Physical Therapist Past Accepting new patients
Indian Wells Medical Center Physical Therapist Past Accepting new patients
Kelly Chiropractic Inc Past Accepting new patients

Locations

78365 Highway 111
La Quinta, CA 92253
Phone (760) 217-0955

78445 Highway 111
La Quinta, CA 92253
Phone (760) 564-3414

36945 Cook St
Ste 103
Palm Desert, CA 92211
Phone (760) 324-6400

43875 Washington St
Ste G
Palm Desert, CA 92211
Phone (760) 701-5046

74057 Highway 111
Palm Desert, CA 92260
Phone (253) 736-3219

78206 Varner Rd
Ste D
Palm Desert, CA 92211
Phone (949) 414-5486

35900 Bob Hope Dr
Ste 100
Rancho Mirage, CA 92270
Phone (760) 564-3414

Organizations & group practices 6

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1619913662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78445 HIGHWAY 111",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532076",
            "telephone_number": "760-564-3414",
            "fax_number": "760-777-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78445 HIGHWAY 111",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532076",
            "telephone_number": "760-564-3414",
            "fax_number": "760-777-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESCOTT",
        "first_name": "ANGELA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT19355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Quinta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.