Theresa Ketterhagen, PT in Los Angeles, CA - Medicare Physical Therapy Provider

Theresa Ketterhagen, PT is a medicare enrolled "Physical Therapist" provider in Los Angeles, California. She graduated from medical school in 1984 and has 40 years of diverse experience with area of expertise as Physical Therapy. Her current practice location is 11677 San Vicente Blvd, Ste 207, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (310) 743-6649.

Theresa Ketterhagen is licensed to practice in California (license number PT12185) 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 1235460767.

Contact Information

	Theresa Ketterhagen, PT
	11677 San Vicente Blvd, Ste 207, Los Angeles, CA 90049-5128
	(310) 743-6649
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Theresa Ketterhagen
Gender	Female
Speciality	Physical Therapy
Experience	40 Years
Location	11677 San Vicente Blvd, Los Angeles, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Theresa Ketterhagen graduated from medical school in 1984

NPI Data:

NPI Number: 1235460767
Provider Enumeration Date: 01/22/2010
Last Update Date: 04/16/2021

Medicare PECOS Information:

PECOS PAC ID: 7719174267
Enrollment ID: I20101209000268

Medical Identifiers

Medical identifiers for Theresa Ketterhagen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235460767	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT12185 (California)	Primary

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. Theresa Ketterhagen allows following entities to bill medicare on her behalf.

Provider Name	Skyfall Physical Therapy
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1982126728 PECOS PAC ID: 0345512216 Enrollment ID: O20170828002591

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. Theresa Ketterhagen 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 Address	Practice Location Address
Theresa Ketterhagen, PT Po Box 491471, Los Angeles, CA 90049-9471 Ph: (310) 743-6649	Theresa Ketterhagen, PT 11677 San Vicente Blvd, Ste 207, Los Angeles, CA 90049-5128 Ph: (310) 743-6649

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
Kristen Marie Sorrells, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 822 S Robertson Blvd, Suite 310, Los Angeles, CA 90035 Phone: 310-360-9069
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

Theresa Ketterhagen, PT - Medicare Physical Therapist in Los Angeles, CA