Origin Physical Therapy (ca), Inc. | |
11980 San Vicente Blvd Ste 100, Los Angeles, CA 90049-5012 | |
(310) 241-4885 | |
(310) 479-2329 |
Full Name | Origin Physical Therapy (ca), Inc. |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 11980 San Vicente Blvd Ste 100, Los Angeles, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982169595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Jennifer Reynolds Carr |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1801101266 PECOS PAC ID: 4385830603 Enrollment ID: I20101130000088 |
Provider Name | Leigh Gulati |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326449380 PECOS PAC ID: 8325363948 Enrollment ID: I20150202001628 |
Provider Name | Natalie Eleni Russell |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1457832578 PECOS PAC ID: 5991132086 Enrollment ID: I20200302002641 |
Provider Name | Johanna H Isaac |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1801420047 PECOS PAC ID: 2365871118 Enrollment ID: I20200331001332 |
Provider Name | Rasa Staniulyte |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1912530114 PECOS PAC ID: 3678991007 Enrollment ID: I20200916001197 |
Provider Name | Alexandra J Anderson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1346870706 PECOS PAC ID: 5799195475 Enrollment ID: I20201109001719 |
Provider Name | Rachel Mccarthy-moya |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194303875 PECOS PAC ID: 2365851458 Enrollment ID: I20210430000825 |
Provider Name | Anthea Pitysingh |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1659818128 PECOS PAC ID: 1658771902 Enrollment ID: I20210608003801 |
Provider Name | Teresa Wong |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1255084158 PECOS PAC ID: 8224421698 Enrollment ID: I20220207001955 |
Provider Name | Meredith Best |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669989695 PECOS PAC ID: 0143582585 Enrollment ID: I20220701000477 |
Provider Name | Vanessa Amezquita |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1770293383 PECOS PAC ID: 9739559030 Enrollment ID: I20230103000590 |
Provider Name | Alexis Petty |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1811654833 PECOS PAC ID: 0244621068 Enrollment ID: I20230621002166 |
Provider Name | Hwimin Kim |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245064625 PECOS PAC ID: 2264964782 Enrollment ID: I20241022001262 |
Provider Name | Lindsey Jane Christian |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1659933810 PECOS PAC ID: 0941732432 Enrollment ID: I20241022004109 |
Provider Name | Arianne Janette Medrano |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1043079221 PECOS PAC ID: 5193257681 Enrollment ID: I20241022004287 |
Provider Name | Nazly Siadate |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1801628227 PECOS PAC ID: 5991238495 Enrollment ID: I20241022004894 |
Provider Name | Kayla Ann Mullarkey |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013795962 PECOS PAC ID: 7810420379 Enrollment ID: I20241023001756 |
Provider Name | Jada Meadows |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730962788 PECOS PAC ID: 6608309745 Enrollment ID: I20241029001467 |
Provider Name | Marcela Elena Gonzalez |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1346070869 PECOS PAC ID: 6103359161 Enrollment ID: I20241029002981 |
Provider Name | Karen Ruhman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1386479871 PECOS PAC ID: 6406389485 Enrollment ID: I20241029003826 |
Provider Name | Elizabeth Ann Miracle |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013164169 PECOS PAC ID: 9133652936 Enrollment ID: I20241031004470 |
Provider Name | Kristin Fyfe |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1376376202 PECOS PAC ID: 8527595057 Enrollment ID: I20241223002498 |
Provider Name | Celestine Compton |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174003370 PECOS PAC ID: 8921536624 Enrollment ID: I20250108003533 |
Provider Name | Allison Molnar |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538695051 PECOS PAC ID: 7719258110 Enrollment ID: I20250113001626 |
Provider Name | Alexandra Bertucci |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1063913093 PECOS PAC ID: 0749543320 Enrollment ID: I20250114003728 |
Provider Name | Melissa Orlowski Lee |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689484826 PECOS PAC ID: 9436688082 Enrollment ID: I20250127000808 |
Provider Name | Dayna Huor |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1275270225 PECOS PAC ID: 4082143219 Enrollment ID: I20250131003248 |
Mailing Address | Practice Location Address |
---|---|
Origin Physical Therapy (ca), Inc. Po Box 103230, Pasadena, CA 91189-3230 Ph: (310) 479-2323 | Origin Physical Therapy (ca), Inc. 11980 San Vicente Blvd Ste 100, Los Angeles, CA 90049-5012 Ph: (310) 241-4885 |
Miss Jill M Werner, B.SC.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1720 Cesar E Chavez Ave., Los Angeles, CA 90033 Phone: 323-268-5000 | |
Ms. Peggy Sue Perock, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 335 N La Brea Street, Bob Hope Medical Clinic, Los Angeles, CA 90036 Phone: 323-634-3826 Fax: 323-938-9958 | |
Jessica Elizabeth Greim, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4650 W Sunset Blvd, Los Angeles, CA 90027 Phone: 310-361-2118 | |
Mrs. Christy Lynn Skura, DPT, PCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8717 Venice Blvd, Los Angeles, CA 90034 Phone: 310-337-7115 Fax: 310-216-6153 | |
Dr. Sean Dennis Johnson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 488 S San Vicente Blvd, Los Angeles, CA 90048 Phone: 323-655-9055 | |
Izumi Yasuhara, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6080 Center Dr Fl 6, Los Angeles, CA 90045 Phone: 888-859-0145 | |
Ritchie Val Aguilera, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2040 Fair Park Ave, Apt 206, Los Angeles, CA 90041 Phone: 818-985-5990 |