Active NPI
Riley Mandel, PT, DPT
- Physical Therapist
- Marina del Rey, CA
National Provider Identifier
1508337874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 295996
- Practice address
- 4820 Lincoln Blvd
Marina del Rey, CA 90292 - Phone
- (310) 822-0041
- Fax
- (310) 822-0049
- NPI assigned
- Dec 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 295996 | CA | Primary |
Addresses
Primary practice location
4820 Lincoln Blvd
Marina del Rey, CA 90292
Mailing address
4820 Lincoln Blvd
Marina del Rey, CA 90292
Phone (310) 822-0041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vert Westside LP | Current | Accepting new patients | |
| Blake Physical Therapy, PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Santa Monica, CA
- NPI 1528109360
-
- Orthopedic Physical Therapist
- Santa Monica, CA
- NPI 1750350476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544918400000",
"number": "1508337874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4820 LINCOLN BLVD",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "90292",
"telephone_number": "310-822-0041",
"fax_number": "310-822-0049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4820 LINCOLN BLVD",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "90292",
"telephone_number": "310-822-0041",
"fax_number": "310-822-0049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDEL",
"first_name": "RILEY",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-16",
"last_updated": "2018-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "295996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marina del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.