Individual provider Active NPI

Irit Eckhaus, PT

  • Physical Therapist
  • Valencia, CA
National Provider Identifier
1730118464
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT10608 Issued in CA
Practice address
23734 Valencia Blvd Ste 201
Valencia, CA 91355
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 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 PT10608 CA Primary

Addresses

Primary practice location

23734 Valencia Blvd Ste 201
Valencia, CA 91355

Mailing address

23734 Valencia Blvd Ste 201
Valencia, CA 91355-5360
Phone (661) 253-3744

Other identifiers 1

IdentifierTypeStateIssuer
PT 10608OtherCAPHYSICAL THERAPIST LICENS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060823000544 CA Practitioner - Physical Therapist in Private Practice 5395748891 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT10608CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Managed Care Rehab., Inc. CurrentSince Oct 4, 2011 Accepting new patients

Locations

18531 Roscoe Blvd
Ste 215A
Northridge, CA 91324
Phone (818) 886-2245

18531 Roscoe Blvd
Ste 21
Northridge, CA 91324

23734 Valencia Blvd
Ste 201
Valencia, CA 91355
Phone (661) 253-3744

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1730118464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23734 VALENCIA BLVD STE 201",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555360",
            "telephone_number": "661-253-3744",
            "fax_number": "661-253-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23734 VALENCIA BLVD STE 201",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "91355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKHAUS",
        "first_name": "IRIT",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT10608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST LICENS",
            "identifier": "PT 10608",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.