Individual provider Active NPI

Paul M Lefko, PT

  • Physical Therapist
  • Simi Valley, CA
National Provider Identifier
1952489668
Registry record updated Mar 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27754 Issued in CA
Practice address
1980 Sequoia Ave
Simi Valley, CA 93063-3167
Phone
(805) 306-1840
NPI assigned
Nov 1, 2006
Last updated
Mar 20, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2010

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 27754 CA Primary

Addresses

Primary practice location

1980 Sequoia Ave
Simi Valley, CA 93063-3167

Mailing address

1980 Sequoia Ave
Simi Valley, CA 93063-3167
Phone (805) 306-0070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041022000479 CA Practitioner - Physical Therapist in Private Practice 1850352097 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Queen's School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MDRS Spine and Sport IncGroup PAC ID 3274446687, 181 clinicians

Practice addresses (Care Compare)

31293 Via Colinas
Westlake Village, CA 91362-3935
Phone (805) 738-5186

450 Rosewood Ave
Suite 105
Camarillo, CA 93010-5914
Phone (805) 389-4781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Therapy Physical Therapy PC CurrentSince Jul 15, 2024 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince May 28, 2021 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Jun 21, 2024 Accepting new patients
Free Motion Therapeutics & Physical Therapy Inc. Physical Therapist PastSince Oct 21, 2004 Accepting new patients
Bay Area Spine & Sport, Inc Physical Therapist PastSince Oct 3, 2012 Accepting new patients
Vertex Physical Therapy Inc. PastSince Dec 1, 2006 Accepting new patients
Performance Therapy Center Physical Therapist PastSince Aug 3, 2022 Accepting new patients

Locations

450 Rosewood Ave
Ste 105
Camarillo, CA 93010
Phone (805) 389-4781

1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104

14150 Culver Dr
Ste 103
Irvine, CA 92604
Phone (949) 262-9142

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 409-4167

9852 Business Park Dr
Ste A
Sacramento, CA 95827
Phone (916) 362-7962

31293 Via Colinas
Westlake Village, CA 91362
Phone (805) 738-5186

5850 Canoga Ave
Ste 120
Woodland Hills, CA 91367
Phone (747) 255-4089

Organizations & group practices 7

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269043200000",
    "number": "1952489668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 SEQUOIA AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633167",
            "telephone_number": "805-306-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 SEQUOIA AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633167",
            "telephone_number": "805-306-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFKO",
        "first_name": "PAUL",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "27754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2010; 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.