Pitacle Fairy Incorporated

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PITACLE FAIRY INCORPORATED

Doing business as

Free Motion Pilates & Therapeutics

Practice address

1115 E Los Angeles Ave
Simi Valley, CA 93065-2801

Phone

(806) 306-1840

Fax

(805) 306-1839

NPI assigned

Feb 22, 2008

Last updated

Feb 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John J Mandel

Title

President

Phone

(805) 306-1840

Specialties & licenses 1

Addresses

Other names 1

• Free Motion Pilates & Therapeutics Doing business as

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1255500302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 E. LOS ANGELES AVENUE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "93065",
            "telephone_number": "806-306-1840",
            "fax_number": "805-306-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 E LOS ANGELES AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652801",
            "telephone_number": "806-306-1840",
            "fax_number": "805-306-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITACLE FAIRY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "MANDEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-306-1840",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Free Motion Pilates & Therapeutics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeanette Nicole Pilliner, M.D.
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• Mirna Pina
• Eileen M Pirtle
• Jessica M. Pizano-Gonzalez, M.S.
• Platinum RX
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• Micaela Anne Poehler, PHARMD
• Mayra Alejandra Larissa Poggio

• Physical Therapist in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.