Chris Kazumi Mizunuma, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

37354 Issued in CA

Practice address

915 Crenshaw Blvd
Los Angeles, CA 90019-1938

Phone

(323) 937-5466

NPI assigned

Jul 19, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Good Rehab Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Los Angeles, CA
  • NPI 1184758161
  NPD (past)

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419379200000",
    "number": "1144518598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 CRENSHAW BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900191938",
            "telephone_number": "323-937-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 CRENSHAW BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900191938",
            "telephone_number": "323-937-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZUNUMA",
        "first_name": "CHRIS",
        "middle_name": "KAZUMI",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-19",
        "last_updated": "2014-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "37354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric L Mizrahi, MD
• Sapir Mizrahi
• Marie Mizuno
• Nancy A Mizuno, CRNA
• Sean Mizuno
• MJB Transitional Recovery, Inc.
• MK Home Health Services
• Irina Mkchyan, NP
• Lilit Mkhitarian, LCSW
• Lily Amanda Mkhitarian, MA

• Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2014; 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.