West Coast Sports Physical Therapy, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT 15886 Issued in CA

Legal business name

WEST COAST SPORTS PHYSICAL THERAPY, INC.

Practice address

1137 2ND St Ste 103
Santa Monica, CA 90403-5069

Phone

(310) 477-0018

Fax

(310) 954-9422

NPI assigned

Nov 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Rodney Buchanan, PTNPI 1235275033

Title

Owner

Phone

(310) 416-9777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rodney Buchanan, P.T.

  • Specialist
  • Santa Monica, CA
  • NPI 1235275033
  Medicare reassignment NPD Authorized official
• Timothy P McCauley, MSPT

  • Orthopedic Physical Therapist
  • Manhattan Beach, CA
  • NPI 1518131267
  NPD
• Mileva Popovic

  • Physical Therapist
  • Manhattan Beach, CA
  • NPI 1144828179
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1922287259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 2ND ST STE 103",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035069",
            "telephone_number": "310-477-0018",
            "fax_number": "103-954-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 2ND ST STE 103",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035069",
            "telephone_number": "310-477-0018",
            "fax_number": "310-954-9422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1137 2nd St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904035069",
            "country_code": "US",
            "telephone_number": "310-416-9777",
            "fax_number": "310-416-1144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEST COAST SPORTS PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-416-9777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT 15886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Jie Weng
• Leslie Elena Wenzell
• William Felix Werner Jr., DDS
• West Coast Integrative Mental Health, Inc
• West Coast Psychological Therapy & Counseling Inc.
• West Los Angeles Anesthesia Services
• West Los Angeles Anesthesia Services LLC
• West Ridge Anesthesia PC
• Grace West
• Rachel Nicole West, D.O.

• Specialist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.

Verify at the official NPI Registry.