Individual provider Active NPI

Allen J. Dewit, P.T.

  • Physical Therapist
  • Torrance, CA
National Provider Identifier
1932206612
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 28507 Issued in CA
Practice address
3878 W Carson St
Suite 100
Torrance, CA 90503-6707
Phone
(310) 543-4655
Fax
(310) 543-1743
NPI assigned
Sep 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 28507 CA Primary

Addresses

Primary practice location

3878 W Carson St
Suite 100
Torrance, CA 90503-6707

Mailing address

3878 W Carson St
Suite 100
Torrance, CA 90503-6707
Phone (310) 543-4655

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100811001122 CA Practitioner - Physical Therapist in Private Practice 6507990660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therex Station Physical Therapy Inc.Group PAC ID 6507250388, 3 clinicians

Practice addresses (Care Compare)

4614 Del Amo Blvd
Torrance, CA 90503-1939
Phone (310) 974-0456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 28507CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therex Station Physical Therapy Inc. Physical Therapist CurrentSince Nov 15, 2023 Accepting new patients

Locations

4614 Del Amo Blvd
Torrance, CA 90503
Phone (310) 974-0456

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932206612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3878 W CARSON ST",
            "address_2": "SUITE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036707",
            "telephone_number": "310-543-4655",
            "fax_number": "310-543-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3878 W CARSON ST",
            "address_2": "SUITE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036707",
            "telephone_number": "310-543-4655",
            "fax_number": "310-543-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWIT",
        "first_name": "ALLEN",
        "middle_name": "J.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 28507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.