Dylan Spetzman, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA49920 Issued in CA

Practice address

5122 Katella Ave Ste 16
Los Alamitos, CA 90720-2838

Phone

(562) 795-5295

NPI assigned

Sep 23, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alamitos Physical Therapy

  • Physical Therapist
  • Los Alamitos, CA
  • NPI 1437169059
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1659922581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 LARWIN AVE",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906303512",
            "telephone_number": "714-308-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5122 KATELLA AVE STE 16",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202838",
            "telephone_number": "562-795-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPETZMAN",
        "first_name": "DYLAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "PTA49920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern California Neurodiagnostic Center, Inc
• Southern California Urology, Inc.
• Southland Renal Medical Group, Inc.
• Southland Wellness
• Leah Southwick, LMFT
• St. Joseph Hospice and Palliative Care, Inc.
• Corinne Stamm
• Stanley Chou Medical Corporation
• Randall Craig Stark, D.C.
• Monica Stel

• Physical Therapy Assistant in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.