Lauretta Marie Rustad, PT, DPT - Medicare Physical Therapist in Victorville, CA

Lauretta Marie Rustad, PT, DPT is a medicare enrolled "Physical Therapist" provider in Victorville, California. She graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice California Luna Care Physical Therapy Pc and her current practice location is 12402 Industrial Blvd, Suite B-2, Victorville, California. You can reach out to her office (for appointments etc.) via phone at (760) 955-6061.

Lauretta Marie Rustad is licensed to practice in California (license number 39367) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083963839.

Contact Information

Lauretta Marie Rustad, PT, DPT
12402 Industrial Blvd, Suite B-2,
Victorville, CA 92395-5871
(760) 955-6061
(760) 955-6062

Map and Direction




Healthcare Provider's Profile

Full NameLauretta Marie Rustad
GenderFemale
SpecialityPhysical Therapy
Experience13 Years
Location12402 Industrial Blvd, Victorville, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lauretta Marie Rustad graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1083963839
  • Provider Enumeration Date: 09/06/2012
  • Last Update Date: 03/02/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4486806148
  • Enrollment ID: I20200928001406

Medical Identifiers

Medical identifiers for Lauretta Marie Rustad such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083963839NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 39367 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
California Luna Care Physical Therapy Pc9638427834531

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lauretta Marie Rustad allows following entities to bill medicare on her behalf.
Provider NameComplete Balance Solution Institute Of Physiotherapy Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1508936626
PECOS PAC ID: 2062427305
Enrollment ID: O20060208000379
Provider NameCalifornia Luna Care Physical Therapy Pc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1689162166
PECOS PAC ID: 9638427834
Enrollment ID: O20180803002123

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. Lauretta Marie Rustad 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
Lauretta Marie Rustad, PT, DPT
24630 Washington Ave, Ste. 200,
Murrieta, CA 92562-6131

Ph: (951) 696-9353
Lauretta Marie Rustad, PT, DPT
12402 Industrial Blvd, Suite B-2,
Victorville, CA 92395-5871

Ph: (760) 955-6061

Reviews and Comments


Physical Therapist in Victorville, CA

Joanne Ingram, RPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 17270 Bear Valley Rd, Ste E-105, Victorville, CA 92395
Phone: 760-955-6061    Fax: 760-955-6062
Janette Joyce Mary Coppotelli, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 17270 Bear Valley Rd, Suite E-105, Victorville, CA 92395
Phone: 760-955-6061    Fax: 760-955-6062
Nicholas Kasischke, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 15095 Amargosa Rd Ste 106, Victorville, CA 92394
Phone: 760-245-6495    
Amanda Shin, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 17270 Bear Valley Rd Ste 105, Victorville, CA 92395
Phone: 760-245-8828    
Karley Ruble,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 12241 Industrial Blvd Ste 210, Victorville, CA 92395
Phone: 800-489-6905    
Optimum Care Provider, Inc.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 12381 Bali St, Victorville, CA 92392
Phone: 909-509-6064    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.