Active NPI
Michael B. Schlink, MA, PT, OCS
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1013059112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT8784
- Practice address
- 10780 Santa Monica Blvd
Suite 480
Los Angeles, CA 90025-4749 - Phone
- (310) 474-5150
- Fax
- (310) 474-4924
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10780 Santa Monica Blvd
Suite 480
Los Angeles, CA 90025-7616
Phone (310) 474-5150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100908000419 | CA | Practitioner - Physical Therapist in Private Practice | 8123142502 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT8784 | CA | MD | Physical Therapist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT8784 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
10780 Santa Monica Blvd
Suite 480
Los Angeles, CA 90025-4749
Mailing address
4253 Noeline Ave
Encino, CA 91436-3329
Phone (310) 474-5150
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ45970Z | Other | CA | BLUE SHIELD |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 11, 2016.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470873600000",
"number": "1013059112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4253 NOELINE AVE",
"city": "ENCINO",
"state": "CA",
"postal_code": "914363329",
"telephone_number": "310-474-5150",
"fax_number": "310-474-4924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10780 SANTA MONICA BLVD",
"address_2": "SUITE 480",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900254749",
"telephone_number": "310-474-5150",
"fax_number": "310-474-4924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHLINK",
"first_name": "MICHAEL",
"middle_name": "B.",
"credential": "MA, PT, OCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2016-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT8784",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ45970Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.