Mariam Taha, PT, DPT, CSCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

300761 Issued in CA

Practice address

5757 Wilshire Blvd Ste 460
Los Angeles, CA 90036-3658

Phone

(323) 634-0221

NPI assigned

Aug 23, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, NY2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Physical Therapy Services of Flatiron PCGroup PAC ID 1759784085, 112 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Physical Therapy Services of Flatiron PC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1134705676

  MA, Orthopedic

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1336816974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 E 23RD ST APT D",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907553565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WILSHIRE BLVD STE 460",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363658",
            "telephone_number": "323-634-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHA",
        "first_name": "MARIAM",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "300761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zorik Johnny Tagmizyan, PHARMD, APH
• Jessica Marlee Tagorda, CRNA
• Terence James Tagorda, SRNA
• Kara Taguchi, PSY.D.
• Annie Tagvoryan
• Medina Taha
• Meral Taha
• Mercedes O Taha
• Nima Taha, M.D.
• Amir Alex Tahbaz, M.D.

• Orthopedic Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.