NOVO F BANTOLO PT
NPI 1255456752
Physical Therapist in Los Angeles, CA
About Novo F Bantolo Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NOVO F BANTOLO PT (NPI 1255456752) is an individual physical therapist in Los Angeles, California, licensed in California (PT 32795) and active in the NPI registry since March 2007. He is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
- 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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Novo F Bantolo 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.
Medicare Billing Reassignment
Medicare enrollment records show Novo Bantolo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chino Hills, CA 91709
- Reassigned Medicare billing, California enrollment
- 5,228 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90045
LOS ANGELES, CA 90045
LOS ANGELES, CA 90045
LOS ANGELES, CA 90045
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 Novo Bantolo's NPI number?
The NPI number for Novo Bantolo is 1255456752. It was assigned to this individual provider in the NPPES registry on March 21, 2007.
Where is Novo Bantolo located?
Novo Bantolo practices at 6033 W Century Blvd Suite 200 & 201, Los Angeles, CA 90045. The listed phone number is (615) 778-4066.
What is Novo Bantolo's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Novo Bantolo enrolled in Medicare?
Yes. Novo Bantolo 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.
Which organization bills Medicare for Novo Bantolo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Novo Bantolo reassigns Medicare benefits to Southern California Permanente Medical Group (Chino Hills, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Novo Bantolo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Novo Bantolo was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.