Individual provider Active NPI

Elisa R Semel, MPT

  • Specialist
  • Valley Village, CA
National Provider Identifier
1063696334
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT27171 Issued in CA
Practice address
11723 Riverside Dr Apt 4
Valley Village, CA 91607-4034
Phone
(818) 970-1050
NPI assigned
Dec 21, 2007
Last updated
Dec 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT27171 CA Primary

Addresses

Primary practice location

11723 Riverside Dr Apt 4
Valley Village, CA 91607-4034

Mailing address

11723 Riverside Dr Apt 4
Valley Village, CA 91607-4034
Phone (818) 970-1050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Oaks Rehabilitation & Fitness Center Inc PastSince Jun 7, 2004 Accepting new patients
Pacific Sports Health Management, Inc. Past Accepting new patients
Progressive Physical Therapy Inc PastSince Apr 1, 1999 Accepting new patients
NRP Physical Therapy Corp. PastSince Apr 1, 2017 Accepting new patients
Neuro Rehab Partners LLC PastSince Jul 1, 2008 Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1063696334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11723 RIVERSIDE DR APT 4",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916074034",
            "telephone_number": "818-970-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11723 RIVERSIDE DR APT 4",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916074034",
            "telephone_number": "818-970-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMEL",
        "first_name": "ELISA",
        "middle_name": "R",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-21",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT27171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.