Ronie Mina, PT, CLT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

293018 Issued in CA

Practice address

1240 N Ogden Dr #1
West Hollywood, CA 90046

Phone

(626) 200-8896

NPI assigned

Nov 13, 2020

Last updated

Nov 14, 2020By the provider in NPPES

Sex

Male

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

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.

• Healthhaus LLC

  dba FulHaus

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1306442587
  Authorized official Same address or phone

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605312000000",
    "number": "1225630270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 N OGDEN DR",
            "address_2": "#1",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "90046",
            "telephone_number": "626-200-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 N OGDEN DR #1",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "90046",
            "telephone_number": "626-200-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINA",
        "first_name": "RONIE",
        "name_prefix": "Mr.",
        "credential": "PT, CLT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-14",
        "certification_date": "2020-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "293018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Michelle Miller
• Natasha Ann Miller, AGPCNP
• Shaun Jason Miller, MD
• Anthony Martin Mills, MD
• Xtine Milrod, LMFT
• Halleh Mir, M.D.
• Carlos Alfonso Miranda, M.D.
• Amin Mirhadi, MD
• Joseph M Mirra, M.D.
• Mahogany Vallie Mister

• Physical Therapist in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2020; 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.