Organization Active NPI

Sierra Therapy Physical Therapy PC

  • Orthopedic Physical Therapist
  • Westlake Village, CA
National Provider Identifier
1639928708
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
SIERRA THERAPY PHYSICAL THERAPY PC
Practice address
31293 Via Colinas
Westlake Village, CA 91362-3935
Phone
(805) 738-5186
Fax
(805) 980-4294
NPI assigned
May 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Paul Lefko, PTNPI 1952489668
Title
Owner
Phone
(805) 738-5186

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

31293 Via Colinas
Westlake Village, CA 91362-3935

Mailing address

3947 Verde Vista Dr
Thousand Oaks, CA 91360-2651
Phone (805) 738-5186

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240722001834 CA Part B Supplier - Clinic/Group Practice 8224574694 Receives reassigned benefits from 1 practitioner
Practice locations: Westlake Village, CA

National Provider Directory

National Provider Directory

Locations

31166 Via Colinas
Ste 1
Westlake Village, CA 91362
Phone (626) 257-6240

31293 Via Colinas
Westlake Village, CA 91362
Phone (805) 738-5186

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": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1639928708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3947 VERDE VISTA DR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913602651",
            "telephone_number": "805-738-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31293 VIA COLINAS",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623935",
            "telephone_number": "805-738-5186",
            "fax_number": "805-980-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA THERAPY PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "LEFKO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-738-5186",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.