Individual provider Active NPI

Doreen Akry, DPT

  • Physical Therapist
  • Sherman Oaks, CA
National Provider Identifier
1811204662
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
36911 Issued in CA
Practice address
4940 Van Nuys Blvd
Suite 301
Sherman Oaks, CA 91403-1700
Phone
(818) 990-9050
Fax
(818) 990-9449
NPI assigned
Aug 31, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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 36911 CA Primary

Addresses

Primary practice location

4940 Van Nuys Blvd
Suite 301
Sherman Oaks, CA 91403-1700

Mailing address

16260 Ventura Blvd
Suite 600
Encino, CA 91436-2203
Phone (818) 986-1977

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101124001105 CA Practitioner - Physical Therapist in Private Practice 3971799305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Pacific Physical Therapy Inc 6 clinicians

Practice addresses (Care Compare)

4940 Van Nuys Blvd
Suite 301
Sherman Oaks, CA 91403-1742
Phone (818) 907-0952

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Pacific Physical Therapy Inc Physical Therapist CurrentSince Jun 29, 2016 Accepting new patients
FPTC Management Inc. Physical Therapist PastSince May 6, 2009 Accepting new patients
Function Physical Therapy Inc Physical Therapist PastSince Jan 1, 2006 Accepting new patients

Locations

4924 Balboa Blvd
Encino, CA 91316
Phone (805) 479-8706

4940 Van Nuys Blvd
Ste 301
Van Nuys, CA 91403
Phone (818) 907-0952

Organizations & group practices 3

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": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320624000000",
    "number": "1811204662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16260 VENTURA BLVD",
            "address_2": "SUITE 600",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362203",
            "telephone_number": "818-986-1977",
            "fax_number": "818-986-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 VAN NUYS BLVD",
            "address_2": "SUITE 301",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031700",
            "telephone_number": "818-990-9050",
            "fax_number": "818-990-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKRY",
        "first_name": "DOREEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2011-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; 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.