Active NPI
Mary Shellah Elizabeth Adoremos, PT
- Physical Therapist
- Northridge, CA
National Provider Identifier
1235259292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 33870
- Practice address
- 7727 Louise Ave
Northridge, CA 91325-4524 - Phone
- (818) 235-2333
- NPI assigned
- Mar 30, 2007
- Last updated
- Oct 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5252 | OR | |
| Physical Therapist | 225100000X | 33870 | CA | Primary |
Addresses
Primary practice location
7727 Louise Ave
Northridge, CA 91325-4524
Mailing address
1130 N Verdugo Rd
Apt 1
Glendale, CA 91206
Phone (747) 228-9654
Other names 1
- Mary Shellah Elizabeth Malanyaon
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33870 | CA | MD | Marriage & Family Therapist |
| 5252 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634601600000",
"number": "1235259292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 N VERDUGO RD",
"address_2": "APT 1",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91206",
"telephone_number": "747-228-9654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7727 LOUISE AVE",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913254524",
"telephone_number": "818-235-2333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADOREMOS",
"first_name": "MARY SHELLAH",
"middle_name": "ELIZABETH",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2021-10-19",
"certification_date": "2021-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "5252",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "33870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY SHELLAH",
"last_name": "MALANYAON",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Northridge, CA
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- Jeffrey Adler
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- Peter John Adler, ED.D.
- Adonai Congregate Living, Inc.
- Advance Life Recovery
- Advance Pain Management Group
- Advanced Caregivers Inc (Advanced Home Care Services)
- Advanced Detox and Rehab Center
- Advanced Hand & Reconstructive Plastic Surgery Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.