Nathaniel Mirador

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 37445 Issued in CA

Practice address

2291 W 205TH St
101
Torrance, CA 90501-1451

Phone

(310) 328-3545

Fax

(310) 328-3745

NPI assigned

Jan 27, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Care First Physical Therapy Rehab Inc

  • Occupational Therapist
  • Torrance, CA
  • NPI 1679946792
  NPD (past)
• M&C Rehab Inc

  • Physical Therapist
  • Torrance, CA
  • NPI 1932446606
  NPD (past)

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1457741647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2291 W 205TH ST",
            "address_2": "101",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905011451",
            "telephone_number": "310-328-3545",
            "fax_number": "310-328-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2291 W 205TH ST",
            "address_2": "101",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905011451",
            "telephone_number": "310-328-3545",
            "fax_number": "310-328-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRADOR",
        "first_name": "NATHANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 37445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chrisanna M Mink, M.D.
• Richard B. Mink, M.D.
• Bianca Minniti
• Anne-Marie Miodovski
• Raheel Mir, RPH, PHARMD
• Miraminds Holistic Care, Inc
• Alex Miramontes
• Elizabeth Miramontes
• Leila Eileen Miranda Lavertu, FNP
• Caroline Miranda, LCSW

• Physical Therapist in Torrance, CA
• Providers in Torrance, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.