MEDICARE: PATRICK LENNARTZ AND ASSOCIATES PHYSICAL THERAPY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1073342655
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATRICK LENNARTZ AND ASSOCIATES PHYSICAL THERAPY INC

Provider Business Mailing Address
First Line	:	439 N CANON DR STE 207
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90210-3908
Country	:	US
Telephone Number	:	310-657-8591
Fax Number	:

Provider Business Practice Location Address
First Line	:	439 N CANON DR STE 207
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90210-3908
Country	:	US
Telephone Number	:	310-657-8591
Fax Number	:	310-657-0499

Authorized Official
Title or Position	:	CEO/PHYSICAL THERAPIST
Name	:	PATRICK REZA LENNARTZ
Credential	:
Telephone Number	:	310-657-8591

Provider Enumeration Date	:	07/31/2024
Last Update Date	:	02/11/2025

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