Novo Bantolo, PT
NPI 1255456752 · Physical Therapist · Los Angeles, CA
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Novo Bantolo, PT is a Physical Therapist provider in Los Angeles, CA (NPI 1255456752).
Provider details
- NPI number
- 1255456752
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- PT 32795 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-21
- Last updated
- 2021-11-29
Frequently asked questions
- What is Novo Bantolo's NPI number?
- Novo Bantolo's National Provider Identifier (NPI) is 1255456752, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Novo Bantolo's specialty?
- Novo Bantolo is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Novo Bantolo located?
- Novo Bantolo's practice location on file with NPPES is 6033 W Century Blvd, Los Angeles, CA 90045-6410.
- What is Novo Bantolo's phone number?
- The practice phone number listed in the NPPES registry for Novo Bantolo is (615) 778-4066.
- Does Novo Bantolo accept Medicare?
- Novo Bantolo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Novo Bantolo's NPI active?
- Yes — Novo Bantolo's NPI (1255456752) is active in the NPPES registry as of the last update on 2021-11-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.