Active NPI
Mia Katherine Oliver, DPT
- Physical Therapist
- Hawthorne, CA
National Provider Identifier
1285124149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 296400
- Practice address
- 11840 S la Cienega Blvd
Hawthorne, CA 90250-3459 - Phone
- (424) 269-3400
- Fax
- (310) 882-5451
- NPI assigned
- May 16, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | PT42874 | FL | |
| Physical Therapist | 225100000X | 296400 | CA | Primary |
Addresses
Primary practice location
11840 S la Cienega Blvd
Hawthorne, CA 90250-3459
Mailing address
957 Minor St
Mobile, AL 36617-2930
Phone (251) 404-1626
Other practice location 1
1755 Wittington Pl Ste 175
Dallas, TX 75234-1905
Phone (877) 456-2867
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 |
|---|---|---|---|
| PT42874 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Napa Center, Inc. | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1285124149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "957 MINOR ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366172930",
"telephone_number": "251-404-1626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11840 S LA CIENEGA BLVD",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902503459",
"telephone_number": "424-269-3400",
"fax_number": "310-882-5451"
}
],
"practiceLocations": [
{
"address_1": "1755 Wittington Pl Ste 175",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752341905",
"country_code": "US",
"telephone_number": "877-456-2867",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLIVER",
"first_name": "MIA",
"middle_name": "KATHERINE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-16",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT42874",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "296400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.