Active NPI
Ina Hocutt, RPT
- Physical Medicine & Rehabilitation Physician
- North Hollywood, CA
National Provider Identifier
1851676845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- PT5300
- Practice address
- 12660 Riverside Dr
201
North Hollywood, CA 91607-3429 - Phone
- (818) 769-2101
- NPI assigned
- Oct 21, 2011
- 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 Medicine & Rehabilitation Physician | 208100000X | PT5300 | CA | Primary |
Addresses
Primary practice location
12660 Riverside Dr
201
North Hollywood, CA 91607-3429
Mailing address
4855 Santa Monica Blvd
Ste 102
Los Angeles, CA 90029-2654
Phone (323) 741-8500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT5300 | Other | CA | STATE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5300 | CA | MD | Mental Health Counselor |
| PT5300 | CA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miracle Touch Urgent Care | Current | Accepting new patients |
Locations
4855 Santa Monica Blvd
Ste 102
Los Angeles, CA 90029
Phone (323) 673-7200
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
-
- Urgent Care Clinic/Center
- Los Angeles, CA
- NPI 1407609167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515369600000",
"number": "1851676845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4855 SANTA MONICA BLVD",
"address_2": "STE 102",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900292654",
"telephone_number": "323-741-8500",
"fax_number": "323-741-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12660 RIVERSIDE DR",
"address_2": "201",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916073429",
"telephone_number": "818-769-2101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOCUTT",
"first_name": "INA",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-21",
"last_updated": "2018-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "PT5300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PT5300",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.