Active NPI
Miriam P. Gritzewsky, B.A.
- Rehabilitation Practitioner
- Pasadena, CA
National Provider Identifier
1295865053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 867 N Fair Oaks Ave
Pasadena, CA 91103-3050 - Phone
- (626) 798-6793
- NPI assigned
- Mar 7, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
867 N Fair Oaks Ave
Pasadena, CA 91103-3050
Mailing address
760 Mountain View St
Altadena, CA 91001-4925
Phone (626) 798-6793
Other practice location 1
12450 Van Nuys Blvd
suite 100
Pacoima, CA 91331-1391
Phone (818) 896-8366 ext. 536
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)
- Not enrolled
- Credentials
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1295865053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 MOUNTAIN VIEW ST",
"city": "ALTADENA",
"state": "CA",
"postal_code": "910014925",
"telephone_number": "626-798-6793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "867 N FAIR OAKS AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911033050",
"telephone_number": "626-798-6793"
}
],
"practiceLocations": [
{
"address_1": "12450 Van Nuys Blvd",
"address_2": "suite 100",
"address_purpose": "LOCATION",
"city": "Pacoima",
"state": "CA",
"postal_code": "913311391",
"country_code": "US",
"telephone_number": "818-896-8366 x536",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRITZEWSKY",
"first_name": "MIRIAM",
"middle_name": "P.",
"credential": "B.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.