Re Active Physical Therapy And Wellness - Medicare Physical Therapist in Los Angeles, CA

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Re Active Physical Therapy And Wellness is a medicare enrolled "Physical Therapist - Neurology" provider in Los Angeles, California. Their current practice location is 8830 S Sepulveda Blvd, Los Angeles, California. You can reach out to their office (for appointments etc.) via phone at (310) 433-0369.

Re Active Physical Therapy And Wellness is licensed to practice in California (license number 27665) and it also participates in the medicare program. Re Active Physical Therapy And Wellness 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 1952650475.

Contact Information

Re Active Physical Therapy And Wellness
8830 S Sepulveda Blvd,
Los Angeles, CA 90045-4833
(310) 433-0369
(310) 933-4803

Map and Direction




Healthcare Provider's Profile

Full NameRe Active Physical Therapy And Wellness
TypeFacility
SpecialityPhysical Therapist - Neurology
Location8830 S Sepulveda Blvd, 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: 1952650475
  • Provider Enumeration Date: 08/30/2012
  • Last Update Date: 08/30/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4183872740
  • Enrollment ID: O20120924000744

Medical Identifiers

Medical identifiers for Re Active Physical Therapy And Wellness such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952650475NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251N0400XPhysical Therapist - Neurology 27665 (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. Re Active Physical Therapy And Wellness acts as a billing entity for following providers:
Provider NameJulie Ann Hershberg
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689973836
PECOS PAC ID: 5092972745
Enrollment ID: I20120207000798
Provider NameLauren Nicole Kaldjian
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1063845576
PECOS PAC ID: 2769618123
Enrollment ID: I20131114000010
Provider NameBrittany L Kim
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952778730
PECOS PAC ID: 9133437809
Enrollment ID: I20150929002314
Provider NameNatalie J Thomas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225487382
PECOS PAC ID: 6901194521
Enrollment ID: I20161014001508
Provider NameChelsea Richardson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831646181
PECOS PAC ID: 1557659893
Enrollment ID: I20161019001401
Provider NameLauren Brubaker Keats
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1356699342
PECOS PAC ID: 0749556157
Enrollment ID: I20171030000929
Provider NameNaoya Ogura
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1609381193
PECOS PAC ID: 0547529034
Enrollment ID: I20180108001944
Provider NameArielle N Levy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1619472495
PECOS PAC ID: 4082977590
Enrollment ID: I20180416002354
Provider NameBrittni Charle
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538649504
PECOS PAC ID: 0840541900
Enrollment ID: I20180928001538
Provider NameMelissa Maria Matos
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1992283188
PECOS PAC ID: 5890046965
Enrollment ID: I20180928002184
Provider NameKatherine Brockert
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1467920629
PECOS PAC ID: 7214275270
Enrollment ID: I20190218000510
Provider NameErin Malia Nishikawa Sako
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1790259471
PECOS PAC ID: 4284975806
Enrollment ID: I20190409001856
Provider NameAmy Neyer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689216962
PECOS PAC ID: 0345674321
Enrollment ID: I20191227001926
Provider NameAryana Carvalho-mires
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902417355
PECOS PAC ID: 0345666541
Enrollment ID: I20200819000544
Provider NameJohnathan Quach
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1710505565
PECOS PAC ID: 8022436278
Enrollment ID: I20200921000506
Provider NameMattie Roesch-orozco
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1619564515
PECOS PAC ID: 4486068913
Enrollment ID: I20210125002081
Provider NameLincoln Beal
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811565575
PECOS PAC ID: 9133523236
Enrollment ID: I20210811003868
Provider NameHarrison Ngo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194491761
PECOS PAC ID: 2860897907
Enrollment ID: I20210826003795
Provider NameLian Lin Todd
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1346627346
PECOS PAC ID: 5092113456
Enrollment ID: I20211015000216
Provider NameWilliam Barclay
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316617764
PECOS PAC ID: 3072901776
Enrollment ID: I20211029001568
Provider NameOlivia Murphy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548921695
PECOS PAC ID: 1456742154
Enrollment ID: I20220106000448
Provider NameJenna Mangiagli
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1972257657
PECOS PAC ID: 0840678561
Enrollment ID: I20220608000389
Provider NameMichael Chung
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790423861
PECOS PAC ID: 1658753918
Enrollment ID: I20220803000291
Provider NameBrandi Seaman
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1942933767
PECOS PAC ID: 7911380142
Enrollment ID: I20220819002145
Provider NameOlivia Schipani
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750019311
PECOS PAC ID: 1456735612
Enrollment ID: I20220907002321
Provider NameEmily Schultz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538682562
PECOS PAC ID: 6901280015
Enrollment ID: I20220908000656
Provider NameAva Cicio
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205519675
PECOS PAC ID: 6002261435
Enrollment ID: I20231004003637
Provider NameAdili Rikondja
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295511426
PECOS PAC ID: 2668827908
Enrollment ID: I20231006001023

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. Re Active Physical Therapy And Wellness 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
Re Active Physical Therapy And Wellness
8830 S Sepulveda Blvd,
Los Angeles, CA 90045-4833

Ph: (310) 433-0369		Re Active Physical Therapy And Wellness
8830 S Sepulveda Blvd,
Los Angeles, CA 90045-4833

Ph: (310) 433-0369

Reviews and Comments


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