Shani Ronit Elbogen, P.T., D.P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

35947 Issued in CA

Practice address

6315 Arizona PL
Suite a
Los Angeles, CA 90045-1252

Phone

(310) 337-7115

Fax

(310) 216-6153

NPI assigned

Mar 26, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269561600000",
    "number": "1194049627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 ARIZONA PL",
            "address_2": "SUITE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900451252",
            "telephone_number": "310-337-7115",
            "fax_number": "310-216-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6315 ARIZONA PL",
            "address_2": "SUITE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900451252",
            "telephone_number": "310-337-7115",
            "fax_number": "310-216-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELBOGEN",
        "first_name": "SHANI",
        "middle_name": "RONIT",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-26",
        "last_updated": "2010-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "35947",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "35947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elayne K. Garber, M.D. a Medical Corporation
• Grace Elazegui
• Magdi H Elbassir, M.D.,
• Mohamed Elata Hassan Elbathani, MD. MSC
• Nancy Elbaum, RN
• Nada M Elbuluk, MD
• Kenneth Bertram Elconin, M.D.
• Eld Unlimited Opportunities, Inc
• Jennifer Patrice Elder-Wolff, FNP
• Alyssa Elder, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.

Verify at the official NPI Registry.