Active NPI
Lesley Anne Koch, PT
- Orthopedic Physical Therapist
- Huntington Beach, CA
National Provider Identifier
1689646044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT22736
- Practice address
- 7451 Warner Ave
Suite a
Huntington Beach, CA 92647-5494 - Phone
- (714) 596-0700
- Fax
- (714) 596-0774
- NPI assigned
- Feb 1, 2006
- Last updated
- Oct 12, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT22736 | CA | Primary |
Addresses
Primary practice location
7451 Warner Ave
Suite a
Huntington Beach, CA 92647-5494
Mailing address
7451 Warner Ave
Suite a
Huntington Beach, CA 92647-5494
Phone (714) 596-0700
Other names 1
- Mrs. Lesley Ann Wykes
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 |
|---|---|---|---|
| PT22736 | CA | MD | Orthopedic Physical Therapist |
| 22736 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical RX Physical Therapy, Inc. | Orthopedic | Past | Accepting new patients |
| Ishcorp Enterprises | Orthopedic | Past | Accepting new patients |
| Pro Care Physical Therapy | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Synergy Physical Therapy
- Physical Therapist
- Huntington Beach, CA
- NPI 1497776512
Orthopedic
-
dba Physical Rx
- Sports Physical Therapist
- Huntington Beach, CA
- NPI 1457436578
Orthopedic
-
- Physical Therapy Clinic/Center
- Cerritos, CA
- NPI 1821177767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255305600000",
"number": "1689646044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7451 WARNER AVE",
"address_2": "SUITE A",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926475494",
"telephone_number": "714-596-0700",
"fax_number": "714-596-0774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7451 WARNER AVE",
"address_2": "SUITE A",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926475494",
"telephone_number": "714-596-0700",
"fax_number": "714-596-0774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "LESLEY",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-01",
"last_updated": "2009-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT22736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LESLEY",
"last_name": "WYKES",
"middle_name": "ANN",
"prefix": "MRS.",
"credential": "P.T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.