Active NPI
Sarah Grimm
- Orthopedic Physical Therapist
- Los Angeles, CA
National Provider Identifier
1417797754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 306059
- Practice address
- 5534 Westlawn Ave
Los Angeles, CA 90066-7011 - Phone
- (323) 853-8553
- NPI assigned
- May 24, 2024
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 306059 | CA | Primary |
Addresses
Primary practice location
5534 Westlawn Ave
Los Angeles, CA 90066-7011
Mailing address
8407 McConnell Ave
Westchester, CA 90045-2723
Phone (310) 743-3034
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 |
|---|---|---|---|
| 306059 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moti Physiotherapy, Inc. | Orthopedic | Current | Accepting new patients |
Locations
5534 Westlawn Ave
Los Angeles, CA 90066
Phone (323) 853-8553
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": "1716508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716508800000",
"number": "1417797754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8407 MCCONNELL AVE",
"city": "WESTCHESTER",
"state": "CA",
"postal_code": "900452723",
"telephone_number": "310-743-3034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5534 WESTLAWN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900667011",
"telephone_number": "323-853-8553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMM",
"first_name": "SARAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-24",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "306059",
"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 May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.