Individual provider Active NPI

Cambria Oetken, PT, DPT

  • Physical Therapist
  • Westlake Village, CA
National Provider Identifier
1942907944
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
305452 Issued in CA
Practice address
1800 Bridgegate St
Westlake Village, CA 91361-1448
Phone
(805) 285-7701
NPI assigned
Feb 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X TN
Physical Therapist 225100000X 14758 TN
Physical Therapist 225100000X 305452 CA Primary

Addresses

Primary practice location

1800 Bridgegate St
Westlake Village, CA 91361-1448

Mailing address

133 Boone Ridge Dr Apt 133
Johnson City, TN 37615-5020
Phone (805) 914-8814

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241119003556 CA Practitioner - Physical Therapist in Private Practice 6608231782 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
East Tennessee State University Quillen College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pow Physical Therapy a Professional CorporationGroup PAC ID 1658634043, 6 clinicians
Mbody Physical Therapy and Wellness IncGroup PAC ID 3173972858, 2 clinicians

Practice addresses (Care Compare)

1889 Knoll Dr
Ventura, CA 93003-7348
Phone (805) 644-1591

5703 Corsa Ave
Suite 201
Westlake Village, CA 91362-4001
Phone (805) 750-0209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prendergast and Rummer Phys Therapy Pelvic Health & Rehabiliation Ctr Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Pow Physical Therapy, a Professional Corporation Physical Therapist CurrentSince Mar 3, 2025 Accepting new patients
Mbody Physical Therapy and Wellness Inc. Physical Therapist CurrentSince Aug 10, 2025 Accepting new patients
Akincilar and Prendergast, Inc Physical Therapist PastSince Sep 26, 2023 Accepting new patients
Momentum Physical Therapy Physical Therapist PastSince Aug 16, 2021 Accepting new patients

Locations

11500 W Olympic Blvd
Ste 470
Los Angeles, CA 90064
Phone (310) 473-8287

1889 Knoll Dr
Ventura, CA 93003
Phone (805) 642-2574

5703 Corsa Ave
Ste 201
Westlake Village, CA 91362
Phone (805) 750-0209

1800 Bridgegate St
Ste 101
Westlake Vlg, CA 91361
Phone (805) 285-7701

32 Daniel Webster Hwy
Ste 16
Merrimack, NH 03054
Phone (603) 589-9184

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1942907944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 BOONE RIDGE DR APT 133",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376155020",
            "telephone_number": "805-914-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BRIDGEGATE ST",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913611448",
            "telephone_number": "805-285-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OETKEN",
        "first_name": "CAMBRIA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-09",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "14758",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.