Active NPI
Steven Lee Itrich, P.T.
- Physical Therapist
- Aliso Viejo, CA
National Provider Identifier
1881707792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14204
- Practice address
- 2 Journey Ste 101
Aliso Viejo, CA 92656-3372 - Phone
- (949) 349-9555
- Fax
- (949) 349-9554
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 14204 | CA | Primary |
Addresses
Primary practice location
2 Journey Ste 101
Aliso Viejo, CA 92656-3372
Mailing address
2 Journey
Aliso Viejo, CA 92656-3332
Phone (949) 349-9555
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, 1986
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2 Journey
Suite 101
Aliso Viejo, CA 92656-3372
Phone (949) 349-9555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14204 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Cal Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Select Cal Physical Therapy PC | Current | Accepting new patients | |
| Select Cal Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Matrix Rehabilitation, Inc. | Past | Accepting new patients |
Locations
2 Journey
Ste 101
Aliso Viejo, CA 92656
Phone (949) 349-9555
10540 Talbert Ave
Ste 250W
Fountain Vly, CA 92708
Phone (714) 964-0727
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Los Gatos, CA
- NPI 1417619008
Physical Therapist
-
- Physical Therapy Clinic/Center
- Costa Mesa, CA
- NPI 1457014094
-
- Physical Therapy Clinic/Center
- Morgan Hill, CA
- NPI 1487317004
Physical Therapist
-
- Physical Therapy Clinic/Center
- San Diego, CA
- NPI 1730124116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639958400000",
"number": "1881707792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 JOURNEY",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926563332",
"telephone_number": "949-349-9555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 JOURNEY STE 101",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926563372",
"telephone_number": "949-349-9555",
"fax_number": "949-349-9554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ITRICH",
"first_name": "STEVEN",
"middle_name": "LEE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2021-12-20",
"certification_date": "2021-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "14204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aliso Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.