Erik Thorvald Iversen, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 29275 Issued in CA

Practice address

2585 Cochran St
Suite a
Simi Valley, CA 93065-2602

Phone

(805) 584-0001

Fax

(805) 527-9135

NPI assigned

May 30, 2006

Last updated

Sep 20, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Body Mechanix Physical Therapy IncGroup PAC ID 3072575836, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Body Mechanix Physical Therapy Inc

  • Physical Therapist
  • Simi Valley, CA
  • NPI 1831143031
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1093762486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 COCHRAN ST",
            "address_2": "SUITE A",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652602",
            "telephone_number": "805-584-0001",
            "fax_number": "805-527-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 COCHRAN ST",
            "address_2": "SUITE A",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652602",
            "telephone_number": "805-584-0001",
            "fax_number": "805-527-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERSEN",
        "first_name": "ERIK",
        "middle_name": "THORVALD",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 29275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF CA",
            "identifier": "PT00029275",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "77057605493065B005",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "0PT292750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Insight Health Corp (INSIGHT IMAGING - Alamo)
• Intensive Care Medical Specialists Inc
• Iron Chiropractic
• Rafeek Iskander
• Nicholette Issaevitch
• Iwona Shine
• Kanakavalli Suresh Iyer, M.D.
• Krishna Iyer, PHARM.D
• Maziar Izadi, DDS
• J.Y. Tokuyama, D.D.S. and L.E. Hansen, D.D.S., a Professional Corporat

• Physical Therapist in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.

Verify at the official NPI Registry.