ANDREW C EVERETT, PT, ATC, CSCS — NPI 1619037736 (Licensed & Credentialed Respiratory, Rehabilitative & Restorative Service Providers — Physical Therapist, Sports in BEVERLY HILLS, CA)

CMS-1500 Box 24J / 33a • NPI

1619037736

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

2251S0007X (CMS 65)

Licensed & Credentialed Respiratory, Rehabilitative & Restorative Service Providers — Physical Therapist, Sports

Box 32 Service Location & ZIP+4

8500 WILSHIRE BLVD, BEVERLY HILLS, CA, 90211-3121

✓ 9-Digit EDI 837 ZIP+4 (90211-3121)

Practice Phone & Referral Fax

(310) 652-7721

Fax: (310) 652-2616

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1619037736 (ANDREW C EVERETT, PT, ATC, CSCS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1619037736` (NPI-1 Individual Practitioner)
Provider / Legal Name	ANDREW C EVERETT, PT, ATC, CSCS
Plain-English Specialty	Licensed & Credentialed Respiratory, Rehabilitative & Restorative Service Providers — Physical Therapist, Sports NUCC Code: `2251S0007X` (Physical Therapist, Sports)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	8500 WILSHIRE BLVD, BEVERLY HILLS, CA, 90211-3121
Practice Telephone / Fax	Tel: (310) 652-7721 \| Fax: (310) 652-2616
Administrative Mailing Address	28082 BRIDLEWOOD DR, CASTAIC, CA, 91384-4532
Enumeration & Last Sync	Enumerated: 2006-12-11 \| CMS Record Updated: 2007-07-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

8500 WILSHIRE BLVD, BEVERLY HILLS, CA, 90211-3121

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Plain-English Taxonomy & CMS Crosswalk (2251S0007X)

What Does Taxonomy Code 2251S0007X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2251S0007X translates to:
"Licensed & Credentialed Respiratory, Rehabilitative & Restorative Service Providers — Physical Therapist, Sports"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 65 (Physical Therapist in Private Practice)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physical Therapist, Sports for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ANDREW C EVERETT, PT, ATC, CSCS)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2251S0007X` — Physical Therapist, Sports Plain English: Licensed & Credentialed Respiratory, Rehabilitative & Restorative Service Providers — Physical Therapist, Sports	State: CA \| License: `19875` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ANDREW C EVERETT, PT, ATC, CSCS (NPI #1619037736)