Individual provider Active NPI

Garey Raymond, P.T

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1649241456
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT22017 Issued in CA
Practice address
531 N Larchmont Blvd
Ste# 2
Los Angeles, CA 90004-3013
Phone
(323) 465-9180
NPI assigned
Jan 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT22017 CA Primary

Addresses

Primary practice location

531 N Larchmont Blvd
Ste# 2
Los Angeles, CA 90004-3013

Mailing address

531 Larchmont Blvd
Ste# 2
Los Angeles, CA 90004-3013
Phone (323) 465-9180

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050726000595 CA Practitioner - Physical Therapist in Private Practice 8426954413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

969 S Santa Fe Ave
Suite E2
Vista, CA 92083-6910
Phone (760) 330-9995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT22017CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Finishline Physical Therapy Inc. Physical Therapist CurrentSince May 1, 2005 Accepting new patients

Locations

531 N Larchmont Blvd
Ste 2
Los Angeles, CA 90004
Phone (323) 465-9180

969 S Santa Fe Ave
Ste E2
Vista, CA 92083
Phone (760) 330-9995

Organizations & group practices 1

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649241456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 LARCHMONT BLVD",
            "address_2": "STE# 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043013",
            "telephone_number": "323-465-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 N LARCHMONT BLVD",
            "address_2": "STE# 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043013",
            "telephone_number": "323-465-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "GAREY",
        "name_prefix": "Mr.",
        "credential": "P.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT22017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.