Individual provider Active NPI

Natalie A Imrisek, MS PT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1417905167
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6226734 Issued in NY
Practice address
1837 Whitley Ave
#212
Los Angeles, CA 90028
Phone
(323) 315-9717
NPI assigned
May 5, 2006
Last updated
Sep 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0267341 NY
Physical Therapist 225100000X 38172 CA
Physical Therapist 225100000X 6226734 NY Primary

Addresses

Primary practice location

1837 Whitley Ave
#212
Los Angeles, CA 90028

Mailing address

649 S Burnside Ave Apt 404
Los Angeles, CA 90036-3984
Phone (213) 444-3781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120328000698 CA Practitioner - Physical Therapist in Private Practice 6305869454 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performing Arts Physical Therapy of Los Angeles IncGroup PAC ID 2668518044, 4 clinicians
Physical Therapy Specialists IncGroup PAC ID 6507764891, 13 clinicians

Practice addresses (Care Compare)

1106 N la Cienega Blvd
Suite 203
West Hollywood, CA 90069-2493
Phone (310) 659-1077

200 N Robertson Blvd
Suite 301
Beverly Hills, CA 90211-6001
Phone (310) 273-8256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
38172CAMDPhysical Therapist
0267341NYMDPhysical Therapist
6226734NYMDPhysical Therapist
026734NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performing Arts Physical Therapy of Los Angeles Inc Physical Therapist CurrentSince Aug 13, 2025 Accepting new patients
Framework Physical Therapy and Dance Medicine, Inc CurrentSince Sep 8, 2025 Accepting new patients
Physical Therapy Specialists Inc Physical Therapist CurrentSince Aug 6, 2025 Accepting new patients
Creative Arts Physical Therapy, Inc. Physical Therapist CurrentSince Aug 13, 2025 Accepting new patients
Century City Physical Therapy, Inc Physical Therapist PastSince May 8, 1999 Accepting new patients
PT Plus, PC Physical Therapist Past Accepting new patients
W. Seth Bolling, MD, Inc PastSince Aug 6, 2025 Accepting new patients

Locations

200 N Robertson Blvd
Ste 301
Beverly Hills, CA 90211
Phone (310) 273-7800

6310 San Vicente Blvd
Ste 200
Los Angeles, CA 90048
Phone (310) 273-7800

1106 N La Cienega Blvd
Ste 203
West Hollywood, CA 90069
Phone (310) 659-1077

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1417905167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 S BURNSIDE AVE APT 404",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363984",
            "telephone_number": "213-444-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1837 WHITLEY AVE",
            "address_2": "#212",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90028",
            "telephone_number": "323-315-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMRISEK",
        "first_name": "NATALIE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MS PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0267341",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38172",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "6226734",
            "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 Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.