Origin Physical Therapy Ca Inc - Medicare Physical Therapist in Los Angeles, CA

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Origin Physical Therapy Ca Inc is a medicare enrolled "Physical Therapist" provider in Los Angeles, California. Their current practice location is 11980 San Vicente Blvd Ste 100, Los Angeles, California. You can reach out to their office (for appointments etc.) via phone at (310) 241-4885.

Origin Physical Therapy Ca Inc is licensed to practice in NU (license number ) and it also participates in the medicare program. Origin Physical Therapy Ca Inc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1982169595.

Contact Information

Origin Physical Therapy Ca Inc
11980 San Vicente Blvd Ste 100,
Los Angeles, CA 90049-6602
(310) 241-4885
(310) 479-2329

Map and Direction




Healthcare Provider's Profile

Full NameOrigin Physical Therapy Ca Inc
TypeFacility
SpecialityPhysical Therapist
Location11980 San Vicente Blvd Ste 100, Los Angeles, California
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1982169595
  • Provider Enumeration Date: 02/07/2019
  • Last Update Date: 08/05/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9133650427
  • Enrollment ID: O20240926003169

Medical Identifiers

Medical identifiers for Origin Physical Therapy Ca Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982169595NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (NU)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Origin Physical Therapy Ca Inc acts as a billing entity for following providers:
Provider NameJennifer Reynolds Carr
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801101266
PECOS PAC ID: 4385830603
Enrollment ID: I20101130000088
Provider NameLeigh Gulati
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326449380
PECOS PAC ID: 8325363948
Enrollment ID: I20150202001628
Provider NameJenna L Boyce
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1336515667
PECOS PAC ID: 8224334339
Enrollment ID: I20160315001863
Provider NameNaomi Jacobs-el
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215110119
PECOS PAC ID: 5496028268
Enrollment ID: I20170830003015
Provider NameNatalie Eleni Russell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457832578
PECOS PAC ID: 5991132086
Enrollment ID: I20200302002641
Provider NameRasa Staniulyte
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1912530114
PECOS PAC ID: 3678991007
Enrollment ID: I20200916001197
Provider NameAlexandra J Anderson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346870706
PECOS PAC ID: 5799195475
Enrollment ID: I20201109001719
Provider NameRachel Mccarthy-moya
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194303875
PECOS PAC ID: 2365851458
Enrollment ID: I20210430000825
Provider NameClaire Wilson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780266528
PECOS PAC ID: 8022427004
Enrollment ID: I20210503002692
Provider NameAnthea Pitysingh
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659818128
PECOS PAC ID: 1658771902
Enrollment ID: I20210608003801
Provider NameJessica Grekov
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134890676
PECOS PAC ID: 8022407642
Enrollment ID: I20211119000321
Provider NameTeresa Wong
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255084158
PECOS PAC ID: 8224421698
Enrollment ID: I20220207001955
Provider NameMeredith Best
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669989695
PECOS PAC ID: 0143582585
Enrollment ID: I20220701000477
Provider NameNirja Gajjar
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750979225
PECOS PAC ID: 0648649095
Enrollment ID: I20221207002212
Provider NameVanessa Amezquita
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770293383
PECOS PAC ID: 9739559030
Enrollment ID: I20230103000590
Provider NameDebra Mae Dy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154903474
PECOS PAC ID: 3678944857
Enrollment ID: I20230126000613
Provider NameAlexis Petty
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811654833
PECOS PAC ID: 0244621068
Enrollment ID: I20230621002166
Provider NameNatalie Danielle Cerda
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437920261
PECOS PAC ID: 3375980147
Enrollment ID: I20240328002230
Provider NameHwimin Kim
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245064625
PECOS PAC ID: 2264964782
Enrollment ID: I20241022001262
Provider NameLindsey Jane Christian
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659933810
PECOS PAC ID: 0941732432
Enrollment ID: I20241022004109
Provider NameArianne Janette Medrano
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043079221
PECOS PAC ID: 5193257681
Enrollment ID: I20241022004287
Provider NameNazly Siadate
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801628227
PECOS PAC ID: 5991238495
Enrollment ID: I20241022004894
Provider NameKayla Ann Mullarkey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013795962
PECOS PAC ID: 7810420379
Enrollment ID: I20241023001756
Provider NameJada Meadows
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730962788
PECOS PAC ID: 6608309745
Enrollment ID: I20241029001467
Provider NameKimia Kardan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1235704966
PECOS PAC ID: 4183023708
Enrollment ID: I20241029002272
Provider NameKaren Ruhman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1386479871
PECOS PAC ID: 6406389485
Enrollment ID: I20241029003826
Provider NameElizabeth Ann Miracle
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013164169
PECOS PAC ID: 9133652936
Enrollment ID: I20241031004470
Provider NameKristin Fyfe
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1376376202
PECOS PAC ID: 8527595057
Enrollment ID: I20241223002498
Provider NameCelestine Compton
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1174003370
PECOS PAC ID: 8921536624
Enrollment ID: I20250108003533
Provider NameAllison Molnar
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538695051
PECOS PAC ID: 7719258110
Enrollment ID: I20250113001626
Provider NameAlexandra Bertucci
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063913093
PECOS PAC ID: 0749543320
Enrollment ID: I20250114003728
Provider NamePaulina Vokulich
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093531451
PECOS PAC ID: 9830628957
Enrollment ID: I20250117002045
Provider NameMelissa Orlowski Lee
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689484826
PECOS PAC ID: 9436688082
Enrollment ID: I20250127000808
Provider NameMegan Kalinich
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073173639
PECOS PAC ID: 0941539969
Enrollment ID: I20250512001109
Provider NameTiffany Caronia
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538950423
PECOS PAC ID: 4082123328
Enrollment ID: I20250529003817
Provider NameCara Grant
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164142899
PECOS PAC ID: 7719486562
Enrollment ID: I20250818004372
Provider NameBrenna Deasy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396621793
PECOS PAC ID: 2365945532
Enrollment ID: I20250912001810
Provider NameMorgan Ann Baxter
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841030228
PECOS PAC ID: 5698203388
Enrollment ID: I20250912003730
Provider NameRebeca Segraves
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154703460
PECOS PAC ID: 3476869165
Enrollment ID: I20251022001478
Provider NameMyra Marfori
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205288552
PECOS PAC ID: 8022398155
Enrollment ID: I20251125003669
Provider NameJanelle Gibson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1629444799
PECOS PAC ID: 5092023523
Enrollment ID: I20251230002916
Provider NameJoelle Pinjuv-turney
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093297863
PECOS PAC ID: 2668706631
Enrollment ID: I20251230003503
Provider NameJennifer Anne Rubi
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871906404
PECOS PAC ID: 7911129358
Enrollment ID: I20260305002568
Provider NameElaine Waksman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528258639
PECOS PAC ID: 7214829571
Enrollment ID: I20260420001065
Provider NameJayla-kalina Hines
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1497608277
PECOS PAC ID: 3476029968
Enrollment ID: I20260422000047
Provider NameElisa Christensen Stone
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144869751
PECOS PAC ID: 0941635064
Enrollment ID: I20260623000643
Provider NameArielle Louise Raguine
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1932949823
PECOS PAC ID: 4183197643
Enrollment ID: I20260625002871
Provider NameJillian Torrente
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851238471
PECOS PAC ID: 0840763181
Enrollment ID: I20260626003822

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Origin Physical Therapy Ca Inc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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 90049-6602

Ph: (310) 241-4885

Reviews and Comments


Physical Therapist in Los Angeles, CA

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: Not Enrolled in Medicare
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    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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