Individual provider Active NPI

Andrew Van Leuven, DPT

  • Physical Therapist
  • Newport Beach, CA
National Provider Identifier
1679994776
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 40467 Issued in CA
Practice address
1600 Dove St Ste 100
Newport Beach, CA 92660-2438
Phone
(949) 502-3388
Fax
(949) 502-3304
NPI assigned
Dec 17, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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 PT 40467 CA Primary

Addresses

Primary practice location

1600 Dove St Ste 100
Newport Beach, CA 92660-2438

Mailing address

1600 Dove St Ste 100
Newport Beach, CA 92660-2438
Phone (949) 502-3388

Other practice location 1

19000 Hawthorne Blvd
#300
Torrance, CA 90503-1517
Phone (310) 793-1800

Other identifiers 1

IdentifierTypeStateIssuer
CB210572OtherCAMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140523002209 CA Practitioner - Physical Therapist in Private Practice 6709009533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Accelerate Physical Therapy PCGroup PAC ID 3577816008, 8 clinicians

Practice addresses (Care Compare)

1600 Dove St
Suite 100
Newport Beach, CA 92660-2438
Phone (949) 502-3388

Merit-based Incentive Payment System (MIPS)

Final score
56.08 of 100Reported as individual
Quality
0
Improvement activities
40
Cost
86.92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40467CAMDGeneral Practice Physician
PT 40467CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Accelerate Physical Therapy, PC Physical Therapist CurrentSince Oct 25, 2016 Accepting new patients

Locations

1600 Dove St
Ste 100
Newport Beach, CA 92660
Phone (949) 502-3388

2029 Village Ln
Ste 106
Solvang, CA 93463
Phone (805) 686-1934

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1679994776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 DOVE ST STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602438",
            "telephone_number": "949-502-3388",
            "fax_number": "949-502-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 DOVE ST STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602438",
            "telephone_number": "949-502-3388",
            "fax_number": "949-502-3304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19000 Hawthorne Blvd",
            "address_2": "#300",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905031517",
            "country_code": "US",
            "telephone_number": "310-793-1800",
            "fax_number": "310-793-1801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN LEUVEN",
        "first_name": "ANDREW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-17",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 40467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CB210572",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.