Organization Active NPI

A Physical Therapy Alternative

  • Physical Therapist
  • Santa Monica, CA
National Provider Identifier
1063600658
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT15905 Issued in CA
Legal business name
A PHYSICAL THERAPY ALTERNATIVE
Practice address
1450 Cloverfield Blvd
Santa Monica, CA 90404-2943
Phone
(310) 828-6584
Fax
(310) 453-3373
NPI assigned
Oct 9, 2007
Last updated
Oct 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Noush Makki
Title
Office Manager
Phone
(310) 828-6584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT15905 CA Primary

Addresses

Primary practice location

1450 Cloverfield Blvd
Santa Monica, CA 90404-2943

Mailing address

1450 Cloverfield Blvd
Santa Monica, CA 90404-2943
Phone (310) 828-6584

National Provider Directory

National Provider Directory

Locations

2221 Lincoln Blvd
#200B
Santa Monica, CA 90405
Phone (310) 392-4444

15335 Morrison St
Ste 102
Sherman Oaks, CA 91403
Phone (818) 312-1415

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1063600658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 CLOVERFIELD BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042943",
            "telephone_number": "310-828-6584",
            "fax_number": "310-453-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CLOVERFIELD BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042943",
            "telephone_number": "310-828-6584",
            "fax_number": "310-453-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PHYSICAL THERAPY ALTERNATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "MAKKI",
        "authorized_official_first_name": "NOUSH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-828-6584"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT15905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.