Individual provider Active NPI

Vicki Lynne McCree, RPT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1700178043
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23225 Issued in CA
Practice address
3709 Cherrywood Ave
Los Angeles, CA 90018-4010
Phone
(323) 294-9723
Fax
(323) 294-9723
NPI assigned
May 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2011

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 23225 CA Primary

Addresses

Primary practice location

3709 Cherrywood Ave
Los Angeles, CA 90018-4010

Mailing address

3709 Cherrywood Ave
Los Angeles, CA 90018-4010
Phone (323) 294-9723

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
23225CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1700178043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 CHERRYWOOD AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900184010",
            "telephone_number": "323-294-9723",
            "fax_number": "323-294-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 CHERRYWOOD AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900184010",
            "telephone_number": "323-294-9723",
            "fax_number": "323-294-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCREE",
        "first_name": "VICKI",
        "middle_name": "LYNNE",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "23225",
            "primary": true
        }
    ],
    "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 May 4, 2011; 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.