THERESA KETTERHAGEN PT
NPI 1235460767
Physical Therapist in Los Angeles, CA

Active since January 22, 2010Accepts Medicare Assignment
11677 SAN VICENTE BLVD, STE 207, LOS ANGELES, CA 90049(310) 743-6649 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theresa Ketterhagen Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA KETTERHAGEN PT (NPI 1235460767) is an individual physical therapist in Los Angeles, California, licensed in California (PT12185) and active in the NPI registry since January 2010. She is a graduate of Other (1984).

NPPES Registry Identity

NPI1235460767
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameTHERESA KETTERHAGENCredential: PT
Location Address11677 SAN VICENTE BLVD, STE 207Los Angeles, CA 90049-5128
Mailing AddressPo Box 491471Los Angeles, CA 90049-9471 · (310) 743-6649
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateJanuary 22, 2010
Last NPPES UpdateApril 16, 2021
NPPES CertifiedApril 16, 2021
NPI 1235460767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in CA · PT12185
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
11677 SAN VICENTE BLVD, Los Angeles, CA 90049

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Theresa Ketterhagen Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719174267
PECOS Enrollment IDI20101209000268

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
6,968 services77 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
469 services79 patients
Application of ultrasound, each 15 minutes 97035
Ultrasound is a medical procedure that uses high-frequency sound waves to capture live images from inside your body. It's a painless process typically lasting 15 minutes per session. This method aids in diagnosing conditions and monitoring health without any radiation exposure.
380 services59 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
229 services75 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
69 services63 patients
Re-evaluation for physical therapy, typically 20 minutes 97164
A re-evaluation for physical therapy is a 20-minute session where your progress is assessed. Your physical therapist will check your current condition, compare it to previous records, and adjust your treatment plan if needed. This ensures your therapy remains effective and tailored to your needs.
39 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90049 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
11677 SAN VICENTE BLVD, STE 207
LOS ANGELES, CA 90049
Physical Therapist
11677 SAN VICENTE BLVD, #207
LOS ANGELES, CA 90049
Physical Therapist
11677 SAN VICENTE BLVD, SUITE # 207
LOS ANGELES, CA 90049
Naturopath
11677 SAN VICENTE BLVD, SUITE 208
LOS ANGELES, CA 90049

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Ketterhagen's NPI number?

The NPI number for Theresa Ketterhagen is 1235460767. It was assigned to this individual provider in the NPPES registry on January 22, 2010.

Where is Theresa Ketterhagen located?

Theresa Ketterhagen practices at 11677 San Vicente Blvd Ste 207, Los Angeles, CA 90049. The listed phone number is (310) 743-6649.

What is Theresa Ketterhagen's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Theresa Ketterhagen enrolled in Medicare?

Yes. Theresa Ketterhagen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Theresa Ketterhagen was last updated on April 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.