Active NPI
Joluis De Los Santos, DPT
- Physical Therapist
- Irvington, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 297795
- Practice address
- 1 Bridge St Ste 71
Irvington, NY 10533-1560 - Phone
- (914) 478-0608
- NPI assigned
- Aug 13, 2019
- Last updated
- Feb 11, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 297795 | CA | Primary |
| Physical Therapist | 225100000X | 044481 | NY |
Addresses
Primary practice location
1 Bridge St Ste 71
Irvington, NY 10533-1560
Mailing address
1035 Aviation Blvd
Hermosa Beach, CA 90254-4023
Phone (310) 937-2323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
12703 Cerise Ave
Hawthorne, CA 90250-4805
Phone (424) 297-3600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evolution Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Aim Sports Medicine and Physical Therapy Inc | Single Specialty | Current | Accepting new patients |
| Frank E Kaden D C Chiropractic Inc | Single Specialty | Current | Accepting new patients |
| Next Phase Medical PC | Single Specialty | Past | Accepting new patients |
| Holt Chiropractic Offices, P.C. | Single Specialty | Past | Accepting new patients |
Locations
12703 Cerise Ave
Hawthorne, CA 90250
Phone (424) 297-3600
1035 Aviation Blvd
Hermosa Beach, CA 90254
Phone (310) 251-0862
11825 Major St
Ste 107
Los Angeles, CA 90230
Phone (310) 915-6100
322 Culver Blvd
Playa del Rey, CA 90293
Phone (310) 779-9712
Organizations & group practices 5
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 Therapist
- Culver City, CA
- NPI 1174601116
-
- Physical Therapist
- Hermosa Beach, CA
- NPI 1740304708
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581379200000",
"number": "1881240125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 AVIATION BLVD",
"city": "HERMOSA BEACH",
"state": "CA",
"postal_code": "902544023",
"telephone_number": "310-937-2323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BRIDGE ST STE 71",
"city": "IRVINGTON",
"state": "NY",
"postal_code": "105331560",
"telephone_number": "914-478-0608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LOS SANTOS",
"first_name": "JOLUIS",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-13",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "297795",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "044481",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.