Organization Active NPI

Flex Elite Physical Therapy P.C.

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1992502637
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FLEX ELITE PHYSICAL THERAPY P.C.
Practice address
625 W College St Ste 101
Los Angeles, CA 90012-1650
Phone
(714) 866-8774
NPI assigned
Feb 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Authorized official

Name
Francis Nikko VillaganteNPI 1598458705
Title
President
Phone
(714) 866-8774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

625 W College St Ste 101
Los Angeles, CA 90012-1650

Mailing address

625 W College St Ste 101
Los Angeles, CA 90012-1650

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250507003542 CA Part B Supplier - Clinic/Group Practice 9234656786 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

625 W College St
Ste 101
Los Angeles, CA 90012
Phone (213) 680-9616

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1992502637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W COLLEGE ST STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W COLLEGE ST STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121650",
            "telephone_number": "714-866-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLEX ELITE PHYSICAL THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "VILLAGANTE",
        "authorized_official_first_name": "FRANCIS NIKKO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-866-8774"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.