Individual provider Active NPI

Mi Y You, RPT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1366564759
Registry record updated Oct 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT22291 Issued in CA
Practice address
2727 W Olympic Blvd
Suite 302
Los Angeles, CA 90006-2699
Phone
(213) 382-0088
Fax
(213) 380-2038
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT22291 CA Primary

Addresses

Primary practice location

2727 W Olympic Blvd
Suite 302
Los Angeles, CA 90006-2699

Mailing address

2727 W Olympic Blvd
Suite 302
Los Angeles, CA 90006-2699
Phone (213) 382-0088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050323000995 CA Practitioner - Physical Therapist in Private Practice 2264488303 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Good Rehab Physical Therapy Inc CurrentSince Jan 31, 2005 Accepting new patients

Locations

500 S Virgil Ave
Ste 308
Los Angeles, CA 90020
Phone (213) 382-0088

2727 W Olympic Blvd
Ste 302
Los Angeles, CA 90006
Phone (213) 382-0088

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225065600000",
    "number": "1366564759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W OLYMPIC BLVD",
            "address_2": "SUITE 302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062699",
            "telephone_number": "213-382-0088",
            "fax_number": "213-380-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W OLYMPIC BLVD",
            "address_2": "SUITE 302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062699",
            "telephone_number": "213-382-0088",
            "fax_number": "213-380-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOU",
        "first_name": "MI",
        "middle_name": "Y",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT22291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.