Organization Active NPI

Mulholland Physical Therapy

  • Physical Therapist
  • Toluca Lake, CA
National Provider Identifier
1417362070
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19993 Issued in CA
Legal business name
MULHOLLAND PHYSICAL THERAPY
Practice address
10901 Whipple St Apt 420
Number 420
Toluca Lake, CA 91602-3257
Phone
(818) 754-1124
NPI assigned
Jun 23, 2014
Last updated
Jun 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Authorized official

Name
VK Mishra
Title
President
Phone
(818) 754-1124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT19993 CA Primary

Addresses

Primary practice location

10901 Whipple St Apt 420
Number 420
Toluca Lake, CA 91602-3257

Mailing address

PO Box 2101
Toluca Lake, CA 91610-0101

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1417362070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2101",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916100101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10901 WHIPPLE ST APT 420",
            "address_2": "NUMBER 420",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916023257",
            "telephone_number": "818-754-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULHOLLAND PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "MISHRA",
        "authorized_official_first_name": "VK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-754-1124"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT19993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toluca Lake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.