Larissa Ann Maichrowicz, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

42005 Issued in CA

Practice address

1821 Wilshire Blvd
Suite 311
Santa Monica, CA 90403-5618

Phone

(310) 453-6166

Fax

(310) 453-6154

NPI assigned

Dec 17, 2014

Last updated

Dec 17, 2014By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1457759805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 WILSHIRE BLVD",
            "address_2": "SUITE 311",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035618",
            "telephone_number": "310-453-6166",
            "fax_number": "310-453-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 WILSHIRE BLVD",
            "address_2": "SUITE 311",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035618",
            "telephone_number": "310-453-6166",
            "fax_number": "310-453-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAICHROWICZ",
        "first_name": "LARISSA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "42005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Mahanian Oheb, M.D.
• Mahasty Mahooty Rdhap Healthy Smiles of California Dental Hygiene, Inc
• Omeed Mahboobian, D.D.S.
• Mehrnaz Mahdad, PT
• Cory D. Mahler, M.D.
• Anna Maier
• Aleksandr Mailyan, LMT
• Louise Mainville, L.A.C
• Anthony H. Maister, M.D.
• Anna Klara Major, LMFT

• Physical Therapist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.