Natalie Blanco Mirsky

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

NATALIE BLANCO MIRSKY

Practice address

1831 Wilshire Blvd Ste E
Santa Monica, CA 90403-5779

Phone

(310) 453-1221

Fax

(310) 829-5319

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Natalie Blanco Mirsky

Title

Founder Managing Director

Phone

(310) 270-7549

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Bodywellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bodywellness

  • Orthopedic Physical Therapist
  • Santa Monica, CA
  • NPI 1649201682
  NPD tax ID

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1487786133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 WILSHIRE BLVD STE E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035779",
            "telephone_number": "310-453-1221",
            "fax_number": "310-829-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 WILSHIRE BLVD STE E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035779",
            "telephone_number": "310-453-1221",
            "fax_number": "310-829-5319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATALIE BLANCO MIRSKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "MIRSKY",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "BLANCO",
        "authorized_official_title_or_position": "FOUNDER MANAGING DIRECTOR",
        "authorized_official_telephone_number": "310-270-7549",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7458842",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nasimeh Yazdani, MD, PC
• Gianna Marie Nasrah
• Karin Lipman Nassar, L.AC.
• Olivia Nassoiy
• Natalia Boucher Psychotherapy
• Natalie Wang, M.D., a Professional Corporation
• Nathalie Maullin, MD a Medical Corporation
• Cara F. Natterson, M.D.
• Paul Natterson, M.D.
• Aurelia Nattiv

• Physical Therapy Clinic/Center in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.