KEITH PENNETTI (NPI# 1629024963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629024963 |
| Entity Type | Individual |
| Full Name | KEITH PENNETTI |
| Credential | PT |
| Practice Address |
11500 Nimitz Ave Los Angeles CA 90049-3566 |
| Practice Telephone | 6314131648 |
| Practice Fax Number | 7602421066 |
| Mailing Telephone | 6314131648 |
| Mailing Fax Number | 7602421066 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2012-12-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | CAQH | 10491538 | 01 |
| Street Address |
11500 NIMITZ AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90049-3566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306897053 | Robert Elliot Neshkes | Psychiatry & Neurology | 11500 Nimitz Ave, Los Angeles, CA 90049-3566 | 2006-05-15 |
| 1174149231 | Parastoo Shadmani | Dietitian, Registered | 11500 Nimitz Ave, Los Angeles, CA 90049-3566 | 2020-06-24 |
| 1689192346 | Suzanne Marie Banda | Speech-Language Pathologist | 11500 Nimitz Ave, Los Angeles, CA 90049-3566 | 2017-09-01 |
| 1043659931 | Sun Chang | Occupational Therapist | 11500 Nimitz Ave, Los Angeles, CA 90049-3566 | 2013-06-24 |
| 1932447232 | Priscilla Park | Occupational Therapist | 11500 Nimitz Ave, Los Angeles, CA 90049-3566 | 2013-01-21 |
| 1639413503 | Robert Stephen Wilkes | Social Worker | 11500 Nimitz Ave, Los Angeles, CA 90049-3566 | 2012-11-16 |
| 1477826709 | Jennifer C Wu | Pharmacist | 11500 Nimitz Ave, Attn: Pharmacy, Los Angeles, CA 90049-3566 | 2012-02-16 |
| 1659691178 | Stanley T Nomura | Pharmacist | 11500 Nimitz Ave, Pharmacy Dept, Los Angeles, CA 90049-3566 | 2010-06-07 |
| 1821316076 | Department of Veterans Affairs of The State of California | Assisted Living Facility | 11500 Nimitz Ave, Los Angeles, CA 90049-3566 | 2010-05-12 |
| 1093942179 | Kistyn Joi Gritney | Social Worker | 11500 Nimitz Ave, Los Angeles, CA 90049-3566 | 2009-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316564339 | Kepp Family & Group Practice | Marriage & Family Therapist | 12011 San Vincente Blvd, 408, Los Angeles, CA 90049 | 2020-06-26 |
| 1386204493 | Steven J Lehrman | Marriage & Family Therapist | 179 S. Barrington Place, Office A, Los Angeles, CA 90049 | 2019-06-20 |
| 1922562990 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 860 S. Sepulveda Blvd., Los Angeles, CA 90049 | 2019-01-24 |
| 1851864946 | Christie Schnur | Marriage & Family Therapist | 11911 San Vicente Blvd., Los Angeles, CA 90049 | 2019-01-10 |
| 1669954012 | Barbara Jiji Schenk | Marriage & Family Therapist | 520 S. Sepulveda Blvd #402, Los Angeles, CA 90049 | 2018-09-02 |
| 1972090710 | Community Reflections Inc | Counselor | 10020 So. Western Ave, 10020 So. Western Ave, Los Angeles, CA 90049 | 2018-04-17 |
| 1245738830 | Dr. Shirin Tabib LLC | Marriage & Family Therapist | 61133 San Vincent Blvd, Suite 318 A, Los Angeles, CA 90049 | 2018-01-29 |
| 1295240679 | Robert A Brooks | Preventive Medicine | 149 South Barrington Ave, #346, Los Angeles, CA 90049 | 2017-12-07 |
| 1598286478 | Marvin S Serrano | Physical Therapy Assistant | 11740 San Vicente Boulevard Suite 205, Los Angeles, CA 90049 | 2017-06-30 |
| 1972055812 | Evolve Growth Initiatives, LLC | Psychiatric Residential Treatment Facility | 820 Moraga Drive, Los Angeles, CA 90049 | 2016-10-26 |
| Find all providers in zip 90049 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452511 | Yacoub Abdallah | Physical Therapist | 3415 S Sepulveda Blvd Ste 550, Los Angeles, CA 90034-6984 | 2020-09-22 |
| 1487268330 | Katrina Mae Balacano Corpuz | Physical Therapist | 258 N Bonnie Brae St Apt 1, Los Angeles, CA 90026-5369 | 2020-09-08 |
| 1376152066 | 2be-fit Inc | Physical Therapist | 811 S Bedford St Apt 301, Los Angeles, CA 90035-1819 | 2020-07-28 |
| 1811526320 | Eunice Shepherd | Physical Therapist | 7077 Willoughby Ave Apt 617, Los Angeles, CA 90038-2389 | 2020-04-06 |
| 1982233805 | Dennis Martin Clarke | Physical Therapist | 1420 S Bedford St Apt 301, Los Angeles, CA 90035-3585 | 2020-04-02 |
| 1669010500 | Paulina Jessica Tapia | Physical Therapist | 350 S Reno St Apt 406, Los Angeles, CA 90057-1194 | 2019-12-10 |
| 1427695774 | Ingrid Michelle Naveira | Physical Therapist | 126 Cheesbroughs Ln, Los Angeles, CA 90063-2839 | 2019-12-05 |
| 1932743515 | Jacob Henry Jaffe | Physical Therapist | 10474 Santa Monica Blvd Ste #435, Los Angeles, CA 90025-6932 | 2019-11-06 |
| 1902448400 | Kristian Noguchi-salazar | Physical Therapist | 1335 N La Brea Ave Ste 3, Los Angeles, CA 90028-7565 | 2019-10-16 |
| 1306496740 | Lilit Petrosyan | Physical Therapist | 5419 Hollywood Blvd Ste C128, Los Angeles, CA 90027-3480 | 2019-09-18 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90049 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.