Active NPI
Lenard Cruz, RPT
- Physical Therapist
- Long Beach, CA
National Provider Identifier
1679658900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT29248
- Practice address
- 2760 Atlantic Ave
Long Beach, CA 90806-2755 - Phone
- (562) 424-5198
- Fax
- (562) 427-1235
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT29248 | CA | Primary |
Addresses
Primary practice location
2760 Atlantic Ave
Long Beach, CA 90806-2755
Mailing address
11230 Carolyn PL
Cerritos, CA 90703-5562
Phone (201) 394-2678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29248 | CA | MD | Marriage & Family Therapist |
| PT29248 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679658900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11230 CAROLYN PL",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907035562",
"telephone_number": "201-394-2678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2760 ATLANTIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062755",
"telephone_number": "562-424-5198",
"fax_number": "562-427-1235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "LENARD",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT29248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.