Active NPI
Kathryn Allen, MPT
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1740235654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17497
- Practice address
- 11022 Santa Monica Blvd Ste 430
Los Angeles, CA 90025-7533 - Phone
- (310) 470-1480
- Fax
- (310) 470-1478
- NPI assigned
- May 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 17497 | CA | Primary |
Addresses
Primary practice location
11022 Santa Monica Blvd Ste 430
Los Angeles, CA 90025-7533
Mailing address
2471 Butler Ave
Los Angeles, CA 90064-3001
Phone (310) 418-8586
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060411000534 | CA | Practitioner - Physical Therapist in Private Practice | 5991714487 | Practice locations: Los Angeles, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11022 Santa Monica Blvd
Suite 430
Los Angeles, CA 90025-7533
Phone (310) 470-1480
2471 Butler Ave
Los Angeles, CA 90064-3001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555459200000",
"number": "1740235654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2471 BUTLER AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900643001",
"telephone_number": "310-418-8586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11022 SANTA MONICA BLVD STE 430",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900257533",
"telephone_number": "310-470-1480",
"fax_number": "310-470-1478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "KATHRYN",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2019-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "17497",
"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 Apr 17, 2019; 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.