Active NPI
Rekha Lund, MPT
- Physical Therapist
- Encino, CA
National Provider Identifier
1962610790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT24705
- Practice address
- 15928 Ventura Blvd
Ste 226
Encino, CA 91436-4479 - Phone
- (310) 500-0199
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC11809 | CA | |
| Physical Therapist | 225100000X | PT24705 | CA | Primary |
Addresses
Primary practice location
15928 Ventura Blvd
Ste 226
Encino, CA 91436-4479
Mailing address
15928 Ventura Blvd
Ste 226
Encino, CA 91436-4479
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC11809 | Other | CA | STATE LICENSE |
| PT24705 | Other | CA | STATE LICENSE |
Other names 1
- Rekha Lund
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111019000195 | CA | Practitioner - Physical Therapist in Private Practice | 6901078864 | Practice locations: Encino, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
15928 Ventura Blvd
Suite 226
Encino, CA 91436-4479
Phone (310) 500-0199
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC11809 | CA | MD | Acupuncturist |
| PT24705 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prendergast and Rummer Phys Therapy Pelvic Health & Rehabiliation Ctr | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- San Francisco, CA
- NPI 1205112174
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563667200000",
"number": "1962610790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15928 VENTURA BLVD",
"address_2": "STE 226",
"city": "ENCINO",
"state": "CA",
"postal_code": "914364479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15928 VENTURA BLVD",
"address_2": "STE 226",
"city": "ENCINO",
"state": "CA",
"postal_code": "914364479",
"telephone_number": "310-500-0199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUND",
"first_name": "REKHA",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2019-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC11809",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT24705",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "AC11809",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PT24705",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REKHA",
"last_name": "LUND",
"credential": "LAC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2019; 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.