Individual provider Active NPI

Kristin Lew, DPT

  • Orthopedic Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1922747765
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT302097 Issued in CA
Practice address
1640 Marengo St Ste 102
Los Angeles, CA 90033-1061
Phone
(323) 865-1200
NPI assigned
May 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT302097 CA Primary

Addresses

Primary practice location

1640 Marengo St Ste 102
Los Angeles, CA 90033-1061

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 865-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220915003493 CA Practitioner - Physical Therapist in Private Practice 8224413901 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Northwestern University Feinberg Medical School, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Proactive Physical Therapy and Sports Medicine IncGroup PAC ID 1557369436, 51 clinicians
Shoreline Physical Therapy IncGroup PAC ID 7113814211, 6 clinicians

Practice addresses (Care Compare)

12264 El Camino Real
Suite 102
San Diego, CA 92130-3060
Phone (858) 509-9600

9036 Adams Ave
Huntington Beach, CA 92646-3402
Phone (714) 963-7712

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT302097CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ando & Aston Physical Therapy, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Aaron McGuinness Physical Therapist Inc CurrentSince Oct 24, 2023 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Aug 1, 2022 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Aug 1, 2022 Accepting new patients
Shoreline Physical Therapy, Inc. Orthopedic CurrentSince Sep 1, 2025 Accepting new patients
DPT Holdings PLLC Orthopedic CurrentSince Sep 1, 2025 Accepting new patients
Grace L Walker Physical Therapy a Professional Corporation CurrentSince Sep 1, 2025 Accepting new patients

Locations

4050 E Cotton Center Blvd
Ste 18
Phoenix, AZ 85040
Phone (480) 653-8200

6200 E Canyon Rim Rd
#113E
Anaheim, CA 92807
Phone (714) 974-0330

6200 E Canyon Rim Rd
#113E113E
Anaheim, CA 92807
Phone (714) 974-0330

9036 Adams Ave
Huntington Beach, CA 92646
Phone (714) 716-9373

19582 Beach Blvd
Ste 130
Huntington Beach, CA 92648
Phone (714) 841-6162

440 Foothill Blvd
La Canada Flintridge, CA 91011
Phone (818) 369-7620

4515 Ocean View Blvd
Ste 350
La Canada Flt, CA 91011
Phone (818) 369-7620

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

1640 Marengo St
Ste 102
Los Angeles, CA 90033
Phone (323) 224-7070

1640 Marengo St
Los Angeles, CA 90033
Phone (323) 223-4091

1111 W Town and Country Rd
Ste 1
Orange, CA 92868
Phone (714) 997-5518

12264 El Camino Real
Ste 102
San Diego, CA 92130
Phone (858) 509-9600

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1922747765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "323-865-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 MARENGO ST STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331061",
            "telephone_number": "323-865-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEW",
        "first_name": "KRISTIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT302097",
            "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 Aug 29, 2022; 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.

Verify at the official NPI Registry.