Active NPI
Susan Normandy Blumenthal, P.T.
- Physical Therapist
- Santa Monica, CA
National Provider Identifier
1366655862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 9054
- Practice address
- 427 Wilshire Blvd
Santa Monica, CA 90401-1409 - Phone
- (310) 656-8600
- Fax
- (310) 656-8606
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 9054 | CA | Primary |
Addresses
Primary practice location
427 Wilshire Blvd
Santa Monica, CA 90401-1409
Mailing address
511 N Bonhill Rd
Los Angeles, CA 90049-2325
Phone (310) 471-4002
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 9054 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366655862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 N BONHILL RD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900492325",
"telephone_number": "310-471-4002",
"fax_number": "310-471-4002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 WILSHIRE BLVD",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904011409",
"telephone_number": "310-656-8600",
"fax_number": "310-656-8606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUMENTHAL",
"first_name": "SUSAN",
"middle_name": "NORMANDY",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 9054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.