Individual provider Active NPI

Michael Hecht

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1801658919
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
304116 Issued in CA
Practice address
8905 Venice Blvd
Los Angeles, CA 90034-3335
Phone
(424) 298-8005
NPI assigned
Jan 24, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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 304116 CA Primary

Addresses

Primary practice location

8905 Venice Blvd
Los Angeles, CA 90034-3335

Mailing address

8905 Venice Blvd Ste 106
Los Angeles, CA 90034-3340

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241107002283 CA Practitioner - Physical Therapist in Private Practice 6406380807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Fabrizio Physical Therapy and Sports Medicine IncGroup PAC ID 1456448273, 7 clinicians

Practice addresses (Care Compare)

10309 Santa Monica Blvd
Suite 200
Los Angeles, CA 90025-5007
Phone (310) 553-5984

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fabrizio Physical Therapy and Sports Medicine, Inc Physical Therapist CurrentSince Aug 29, 2024 Accepting new patients

Locations

10309 Santa Monica Blvd
Ste 200
Los Angeles, CA 90025
Phone (310) 408-5886

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": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1801658919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8905 VENICE BLVD STE 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8905 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343335",
            "telephone_number": "424-298-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECHT",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304116",
            "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 Jan 24, 2024; 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.