Organization Active NPI

Dash Physical Therapy PC

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1154775120
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
291214 Issued in CA
Legal business name
DASH PHYSICAL THERAPY PC
Practice address
11600 Wilshire Blvd Ste 205
Los Angeles, CA 90025-1782
Phone
(917) 324-5358
NPI assigned
Apr 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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

Authorized official

Name
Marisa Dadamo
Title
Owner
Phone
(917) 324-5358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 291214 CA Primary

Addresses

Primary practice location

11600 Wilshire Blvd Ste 205
Los Angeles, CA 90025-1782

Mailing address

2300 Lambiance Cir Apt 102
Naples, FL 34108-6738

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1154775120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 LAMBIANCE CIR APT 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341086738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 WILSHIRE BLVD STE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251782",
            "telephone_number": "917-324-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DASH PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "DADAMO",
        "authorized_official_first_name": "MARISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-324-5358"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "291214",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 15, 2016; 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.