Andrea R Boatwright
Individual provider Active NPI Physical Therapist · Live Oak, CA
NPI 1801550850 · NPPES record last updated Jul 27, 2023
Key facts
- NPI
- 1801550850
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 10255 Live Oak Blvd
Live Oak, CA 95953-2015 - Phone
- (530) 695-3700
- NPI assigned
- Oct 26, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Western Physical Therapy Inc
Practice addresses (Care Compare)
10255 Live Oak Blvd
Live Oak, CA 95953-2015
Phone (530) 695-3700
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.21 of 100
- Quality
- 38.71
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.39
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211209000872 | CA | Practitioner - Physical Therapist in Private Practice | 0648660480 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Elite Physical Therapy and Wellness, Inc. | Physical Therapist | Current |
Accepting new patients |
| All Star Physical Therapy | Physical Therapist | Current |
Accepting new patients |
| Western Physical Therapy, Inc. | Physical Therapist | Current |
Accepting new patients |
| Western Physical Therapy, Inc. | Physical Therapist | Current |
Accepting new patients |
Locations
16008 Kamana Rd
Ste 200
Apple Valley, CA 92307
Phone (760) 810-7767
1516 State Highway 99
Ste G
Gridley, CA 95948
Phone (530) 846-8018
3989 W Stetson Ave
Ste 105
Hemet, CA 92545
Phone (951) 652-3334
10255 Live Oak Blvd
Live Oak, CA 95953
Phone (530) 695-3700
24630 Washington Ave
Ste 201
Murrieta, CA 92562
Phone (951) 200-3620
1338 Main St
Ramona, CA 92065
Phone (760) 789-1400
29645 Rancho California Rd
Ste 234
Temecula, CA 92591
Phone (951) 506-3001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
10255 Live Oak Blvd
Live Oak, CA 95953-2015
Mailing address
10255 Live Oak Blvd
Live Oak, CA 95953-2015
Phone (530) 695-3700
Other providers in Live Oak, CA
All providers in Live Oak, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.