Skyfall Physical Therapy
NPI 1982126728 · Physical Therapist · Los Angeles, CA
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Skyfall Physical Therapy is a Physical Therapist organization in Los Angeles, CA (NPI 1982126728).
Provider details
- NPI number
- 1982126728
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Theresa Ketterhagen, President(310) 743-6649
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
9 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
- 2017-07-13
- Last updated
- 2021-04-16
- Certified
- 2021-04-16
Frequently asked questions
- What is Skyfall Physical Therapy's NPI number?
- Skyfall Physical Therapy's National Provider Identifier (NPI) is 1982126728, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Skyfall Physical Therapy?
- Skyfall Physical Therapy is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Skyfall Physical Therapy located?
- Skyfall Physical Therapy's practice location on file with NPPES is 11677 San Vicente Blvd Ste 207, Los Angeles, CA 90049-5128.
- What is Skyfall Physical Therapy's phone number?
- The practice phone number listed in the NPPES registry for Skyfall Physical Therapy is (310) 743-6649.
- Does Skyfall Physical Therapy accept Medicare?
- Skyfall Physical Therapy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Skyfall Physical Therapy?
- The authorized official listed on Skyfall Physical Therapy's NPPES record is Theresa Ketterhagen, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Skyfall Physical Therapy's NPI active?
- Yes — Skyfall Physical Therapy's NPI (1982126728) is active in the NPPES registry as of the last update on 2021-04-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.