Individual provider Active NPI

Isabella Raroque, PT, DPT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1740062520
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1965 Hillhurst Ave FL 1
Los Angeles, CA 90027-2711
Phone
(323) 912-9166
NPI assigned
Oct 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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 Primary

Addresses

Primary practice location

1965 Hillhurst Ave FL 1
Los Angeles, CA 90027-2711

Mailing address

1965 Hillhurst Ave FL 1
Los Angeles, CA 90027-2711
Phone (323) 912-9166

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240305000528 CA Practitioner - Physical Therapist in Private Practice 7416392014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moti Physiotherapy IncGroup PAC ID 4587920426, 19 clinicians

Practice addresses (Care Compare)

1965 Hillhurst Ave
FL 1
Los Angeles, CA 90027-2711
Phone (323) 912-9166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Moti Physiotherapy, Inc. Physical Therapist CurrentSince Dec 17, 2023 Accepting new patients
Moti Physiotherapy, Inc. CurrentSince Oct 22, 2023 Accepting new patients

Locations

1965 Hillhurst Ave
Fl 1
Los Angeles, CA 90027
Phone (323) 912-9166

Organizations & group practices 2

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": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1740062520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 HILLHURST AVE FL 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900272711",
            "telephone_number": "323-912-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 HILLHURST AVE FL 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900272711",
            "telephone_number": "323-912-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAROQUE",
        "first_name": "ISABELLA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.