S&G Santosha, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

22447 Issued in CA

Legal business name

S&G SANTOSHA, INC.

Doing business as

Stacey Smith Physical Therapy

Practice address

1502 Montana Ave Ste 207
Santa Monica, CA 90403-1875

Phone

(310) 458-0898

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Stacey Smith, MPTNPI 1619038007

Title

Physical Therapist

Phone

(310) 458-0898

Specialties & licenses 1

Addresses

Other names 1

• Stacey Smith Physical Therapy Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stacey Marie Smith, M.P.T

  • Physical Therapist
  • Santa Monica, CA
  • NPI 1619038007
  NPD (past) Authorized official
• Brooke Siebel Mitchell, D.P.T.

  • Physical Therapist
  • Santa Monica, CA
  • NPI 1851443923
  NPD (past)
• Amy Fortunata Olmedo

  • Physical Therapist
  • Calabasas, CA
  • NPI 1699965459
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1235290636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 MONTANA AVE STE 207",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031875",
            "telephone_number": "310-458-0898",
            "fax_number": "310-458-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 MONTANA AVE STE 207",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031875",
            "telephone_number": "310-458-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S&G SANTOSHA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "310-458-0898",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "22447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stacey Smith Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Harrison Ruth, DAOM, LAC
• Ann Ita Ryan, MD
• Elizabeth Ryan, PH.D.
• S. Murad M.D., Inc.
• S.Janumpally MD,Inc
• S&S Medical
• Noa Saadi, LCSW
• Samanta Sabaite
• Anahita Ghodsian Sabbar, PA-C
• Mojan Saberi, PMHNP-BC

• Physical Therapist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.