Mint Services

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MINT SERVICES

Practice address

12183 Victory Blvd
North Hollywood, CA 91606

Phone

(818) 623-8100

NPI assigned

May 10, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gennady Satanovsky

Title

Officer

Phone

(213) 260-4891

Specialties & licenses 2

Addresses

Other names 1

• physical therapy rehabiliation center Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1003342262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11333 MOORPARK ST # 402",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916022618",
            "telephone_number": "818-623-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12183 VICTORY BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "91606",
            "telephone_number": "818-623-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11170 Aqua Vista St Apt 103",
            "address_purpose": "LOCATION",
            "city": "Studio City",
            "state": "CA",
            "postal_code": "916023102",
            "country_code": "US",
            "telephone_number": "213-260-4891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-10",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "SATANOVSKY",
        "authorized_official_first_name": "GENNADY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "213-260-4891"
    },
    "taxonomies": [
        {
            "code": "207SG0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Clinical Biochemical Genetics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHYSICAL THERAPY REHABILIATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PHYSICAL THERAPY REHABILIATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "physical therapy rehabiliation center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Physical Therapy Clinic/Center in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.