Organization Active NPI

Pelvica Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Santa Monica, CA
National Provider Identifier
1457720179
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT 39933 Issued in CA
Legal business name
PELVICA PHYSICAL THERAPY, INC.
Practice address
528 Arizona Ave
Ste 319
Santa Monica, CA 90401-1411
Phone
(424) 249-9977
NPI assigned
Sep 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Authorized official

Name
Meri Meloyan, MPTNPI 1417299637
Title
Owner
Phone
(424) 249-9977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT 39933 CA Primary

Addresses

Primary practice location

528 Arizona Ave
Ste 319
Santa Monica, CA 90401-1411

Mailing address

528 Arizona Ave
Ste 319
Santa Monica, CA 90401-1411
Phone (424) 249-9977

National Provider Directory

National Provider Directory

Locations

528 Arizona Ave
Ste 319
Santa Monica, CA 90401
Phone (424) 249-9977

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1457720179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 ARIZONA AVE",
            "address_2": "STE 319",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011411",
            "telephone_number": "424-249-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 ARIZONA AVE",
            "address_2": "STE 319",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011411",
            "telephone_number": "424-249-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELVICA PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "MELOYAN",
        "authorized_official_first_name": "MERI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-249-9977",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT 39933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.