Active NPI
Nicolas Andrew Bartolotta, PT
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1982237376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT39013
- Practice address
- 11710 Wilshire Blvd
Los Angeles, CA 90025-1503 - Phone
- (310) 477-7276
- NPI assigned
- Feb 13, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT39013 | CA | Primary |
Addresses
Primary practice location
11710 Wilshire Blvd
Los Angeles, CA 90025-1503
Mailing address
26500 Agoura Rd # 102-835
Calabasas, CA 91302-1952
Phone (818) 879-1935
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT39013 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581552000000",
"number": "1982237376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26500 AGOURA RD # 102-835",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913021952",
"telephone_number": "818-879-1935",
"fax_number": "818-879-1936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11710 WILSHIRE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251503",
"telephone_number": "310-477-7276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTOLOTTA",
"first_name": "NICOLAS",
"middle_name": "ANDREW",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-13",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT39013",
"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 Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.