Active NPI
Monica Sulaitis
- Physical Therapy Assistant
- Silver City, NM
National Provider Identifier
1407089220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 8254
- Practice address
- 1506 N Alabama St
Silver City, NM 88061-4438 - Phone
- (310) 702-0130
- NPI assigned
- Aug 27, 2009
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 8254 | CA | Primary |
Addresses
Primary practice location
1506 N Alabama St
Silver City, NM 88061-4438
Mailing address
7420 Dunbarton Ave
Los Angeles, CA 90045-1024
Phone (310) 702-0130
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 |
|---|---|---|---|
| 8254 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251331200000",
"number": "1407089220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7420 DUNBARTON AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900451024",
"telephone_number": "310-702-0130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 N ALABAMA ST",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880614438",
"telephone_number": "310-702-0130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULAITIS",
"first_name": "MONICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-27",
"last_updated": "2009-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "8254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver City, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.