Essential Physical Therapy and Wellness Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ESSENTIAL PHYSICAL THERAPY AND WELLNESS INC

Practice address

1740 Malcolm Ave Apt 202
Los Angeles, CA 90024-5762

Phone

(310) 922-2196

NPI assigned

Sep 28, 2021

Organization subpart

No

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

Authorized official

Name

Mita Patel, PTNPI 1609022458

Title

Physical Therapist/Owner

Phone

(310) 922-2196

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mita Patel, PT

  • Physical Therapist
  • Santa Monica, CA
  • NPI 1609022458
  NPD Authorized official

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1396417317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 MALCOLM AVE APT 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245762",
            "telephone_number": "310-922-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 MALCOLM AVE APT 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245762",
            "telephone_number": "310-922-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL PHYSICAL THERAPY AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MITA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "310-922-2196",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Essential Medical Clinic
• Essential Medical Supply Inc
• Jessica Esser
• Essex Dental, Practice of Suleimanagich Dental Corperation
• Donald R Essex, LPCC, CRC
• Lauren Essex, MA, LMFT
• Michelle Tracee-Chan Essig, M.D.

• Physical Therapy Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.