Individual provider Active NPI

Catherine M Cahill, DPT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1750454617
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT15814 Issued in CA
Practice address
11740 San Vicente Blvd
#205
Los Angeles, CA 90049-6610
Phone
(310) 820-7602
Fax
(310) 820-7818
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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 PT15814 CA Primary

Addresses

Primary practice location

11740 San Vicente Blvd
#205
Los Angeles, CA 90049-6610

Mailing address

10539 Lauriston Ave
Los Angeles, CA 90064-2314
Phone (310) 490-4430

Other identifiers 1

IdentifierTypeStateIssuer
PT15814OtherCAPHYSICAL THERAPY LICENSE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT15814CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Goodman Physical Therapy Physical Therapist CurrentSince Nov 1, 2020 Accepting new patients

Locations

2001 S Barrington Ave
Ste 119
Los Angeles, CA 90025
Phone (310) 441-1102

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1750454617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10539 LAURISTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642314",
            "telephone_number": "310-490-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11740 SAN VICENTE BLVD",
            "address_2": "#205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496610",
            "telephone_number": "310-820-7602",
            "fax_number": "310-820-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAHILL",
        "first_name": "CATHERINE",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT15814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "PT15814",
            "state": "CA"
        }
    ],
    "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 23, 2008; 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.