Active NPI
Michele Lynn West, PT
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1871614396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 13009
- Practice address
- 1765 Glendon Ave
Unit #1
Los Angeles, CA 90024-5739 - Phone
- (310) 474-5384
- NPI assigned
- Apr 2, 2007
- Last updated
- May 13, 2022
- 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 Therapist | 225100000X | PT 13009 | CA | Primary |
Addresses
Primary practice location
1765 Glendon Ave
Unit #1
Los Angeles, CA 90024-5739
Mailing address
33951 Violet Lantern St
Apt C
Dana Point, CA 92629-2384
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 13009 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Choice Physical Therapy Inc. | Physical Therapist | Current | Accepting new patients |
| Feld Care Therapy Inc | Physical Therapist | Past | Accepting new patients |
| Lori Rubenstein Physical Therapy, Inc | Past | Accepting new patients | |
| La Paz Chiropractic and Rehabilitation, Inc. Preziosi, Adamo | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Rancho Santa Margarita, CA
- NPI 1912416744
Physical Therapist
-
- Rehabilitation Chiropractor
- Laguna Hills, CA
- NPI 1811529829
-
dba Mosaic Physical Therapy
- Specialist
- Los Angeles, CA
- NPI 1447321666
-
- Physical Therapist
- Tampa, FL
- NPI 1134075864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652400000000",
"number": "1871614396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33951 VIOLET LANTERN ST",
"address_2": "APT C",
"city": "DANA POINT",
"state": "CA",
"postal_code": "926292384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1765 GLENDON AVE",
"address_2": "UNIT #1",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900245739",
"telephone_number": "310-474-5384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "MICHELE",
"middle_name": "LYNN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2022-05-13",
"certification_date": "2022-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 13009",
"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 May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.