Active NPI
Virgenia Mantos Lim, PT
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1194045302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 34685
- Practice address
- 8885 Venice Blvd
#105
Los Angeles, CA 90034-3242 - Phone
- (310) 838-1552
- Fax
- (310) 838-1553
- NPI assigned
- Jun 10, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 34685 | CA | Primary |
Addresses
Primary practice location
8885 Venice Blvd
#105
Los Angeles, CA 90034-3242
Mailing address
8885 Venice Blvd
#105
Los Angeles, CA 90034-3242
Phone (310) 838-1552
Other names 1
- Virgenia Monterde Mantos
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34685 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276128000000",
"number": "1194045302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8885 VENICE BLVD",
"address_2": "#105",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900343242",
"telephone_number": "310-838-1552",
"fax_number": "310-838-1553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8885 VENICE BLVD",
"address_2": "#105",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900343242",
"telephone_number": "310-838-1552",
"fax_number": "310-838-1553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANTOS LIM",
"first_name": "VIRGENIA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-10",
"last_updated": "2010-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "34685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VIRGENIA",
"last_name": "MANTOS",
"middle_name": "MONTERDE",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Los Angeles, CA
- Ann Marie Mantey, O.T.
- Aditya Mantha
- Prasanth Manthena, MD
- Anuradha Raghupathi Manthripragada, MS, RD, LDN, CNSC
- Julie Beth Manton, MOT, OTR/L
- Cia Viana Manu
- Manu'a Airways, Inc. (Manu'a Airways)
- Manua Healthcare Foundation, Inc (Manua Healthcare)
- Bradley Edward Manubay, D.O.
- Venkat Sanjay Reddy Manubolu, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.