Unknown Individual – Orthopedic Physical Therapist, NPI 1376698423

Unknown Individual is a healthcare provider. based in Van nuys, California. specializing in Orthopedic Physical Therapist. They hold a License No. PT18592 (CA). The NPI Number for Unknown Individual is 1376698423

Main info

Organization
Inactive
34 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1376698423
Phone
(818) 901-6600
Address
6815 NOBLE AVE
Deactivation Date
13 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3104438999
Graduation Year
1992 (34 years ago)
PAC ID
7214001882
Group Practice PAC ID
0547490534
Professional Enrollment ID
I20080730000446
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 6815, Noble Avenue, Van Nuys, Los Angeles, Los Angeles County, California, 91405, United States

    VAN NUYS, CA 914053796

    Phone: (818) 901-6600

    Fax: (818) 997-7826

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91405)

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Provider's Procedures

Unknown Individual performs procedures in Orthopedic Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYCA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes627102
PHYSICAL THERAPYCA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes9225

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547490534View full group profile
NameSpecialtyState
Orthopedic SurgeryNJ
Orthopedic SurgeryCA
Pain Management, AnesthesiologyCA
Orthopedic SurgeryCA
-CA
Physical Therapist In Private PracticeCA
Physician AssistantCA
Hand SurgeryCA
Nurse PractitionerCA
Orthopedic SurgeryCA

Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1376698423.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Van Nuys, California in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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