Active NPI
Te'Nisha Jeanae Washington, DPT
- Physical Therapist
- Culver City, CA
National Provider Identifier
1720329279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT39351
- Practice address
- 5000 Overland Ave
Suite 4
Culver City, CA 90230 - Phone
- (310) 836-7650
- Fax
- (310) 836-7651
- NPI assigned
- Mar 8, 2013
- Last updated
- Mar 8, 2013
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT39351 | CA | Primary |
Addresses
Primary practice location
5000 Overland Ave
Suite 4
Culver City, CA 90230
Mailing address
5000 Overland Ave
Suite 4
Culver City, CA 90230
Phone (310) 836-7650
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT39351 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dacosta Collymore | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362700800000",
"number": "1720329279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 OVERLAND AVE",
"address_2": "SUITE 4",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "90230",
"telephone_number": "310-836-7650",
"fax_number": "310-836-7651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 OVERLAND AVE",
"address_2": "SUITE 4",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "90230",
"telephone_number": "310-836-7650",
"fax_number": "310-836-7651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASHINGTON",
"first_name": "TE'NISHA",
"middle_name": "JEANAE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-08",
"last_updated": "2013-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT39351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.