Individual provider Active NPI

Lindsay Ann Pietruszewski, DPT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1699171090
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT41600 Issued in CA
Practice address
1000 Veteran Ave
Los Angeles, CA 90024-2704
Phone
(310) 319-1234
NPI assigned
Nov 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT41600 CA Primary
Pediatric Physical Therapist 2251P0200X PT41600 CA
Orthopedic Physical Therapist 2251X0800X PT41600 CA
Specialist 174400000X 41600 CA
Neurology Physical Therapist 2251N0400X PT41600 CA

Addresses

Primary practice location

1000 Veteran Ave
Los Angeles, CA 90024-2704

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

11105 Knott Ave
Suite A
Cypress, CA 90630-5137
Phone (714) 893-7399

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

LicenseStateTypeSpecialty
41600CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Physical Therapist CurrentSince Jan 1, 2024 Accepting new patients
Regents of the University of California CurrentSince Jan 1, 2024 Accepting new patients
South Coast Pediatric Physical Therapy, Inc Pediatrics Past Accepting new patients
UCLA Medical Group Past Accepting new patients

Locations

1000 Veteran Ave
#2264
Los Angeles, CA 90024

File 54206
Los Angeles, CA 90074

1000 Veteran Ave
Los Angeles, CA 90024
Phone (310) 794-1323

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

1111 W Inyokern Rd
Ste B
Ridgecrest, CA 93555
Phone (760) 301-6945

1250 16th St
Santa Monica, CA 90404
Phone (310) 301-8695

Organizations & group practices 4

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": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1699171090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 VETERAN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900242704",
            "telephone_number": "310-319-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11105 Knott Ave",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "CA",
            "postal_code": "906305137",
            "country_code": "US",
            "telephone_number": "714-893-7399",
            "fax_number": "714-893-7389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIETRUSZEWSKI",
        "first_name": "LINDSAY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT41600",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "PT41600",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT41600",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "41600",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CA",
            "license": "PT41600",
            "primary": false
        }
    ],
    "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 Jan 12, 2024; 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.