Active NPI
Michal Tal, PT
- Physical Therapist
- Valley Village, CA
National Provider Identifier
1245518877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 291319
- Practice address
- 12626 Riverside Dr
Ste 301
Valley Village, CA 91607-3473 - Phone
- (818) 760-0110
- Fax
- (818) 301-0137
- NPI assigned
- Aug 1, 2011
- Sex
- Male
- 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 | 291319 | CA | Primary |
Addresses
Primary practice location
12626 Riverside Dr
Ste 301
Valley Village, CA 91607-3473
Mailing address
8105 Quartz Ave
Winnetka, CA 91306-1942
Phone (856) 906-1516
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 |
|---|---|---|---|
| 291319 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477440000000",
"number": "1245518877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8105 QUARTZ AVE",
"city": "WINNETKA",
"state": "CA",
"postal_code": "913061942",
"telephone_number": "856-906-1516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12626 RIVERSIDE DR",
"address_2": "STE 301",
"city": "VALLEY VILLAGE",
"state": "CA",
"postal_code": "916073473",
"telephone_number": "818-760-0110",
"fax_number": "818-301-0137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAL",
"first_name": "MICHAL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-01",
"last_updated": "2016-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "291319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valley Village, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.