Individual provider Active NPI

Ruslan Mimer, DPT

  • Physical Therapist
  • Encino, CA
National Provider Identifier
1518481944
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT293056 Issued in CA
Practice address
16573 Ventura Blvd Ste 5
Encino, CA 91436-2021
Phone
(818) 990-0868
NPI assigned
Jul 27, 2017
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT293056 CA Primary

Addresses

Primary practice location

16573 Ventura Blvd Ste 5
Encino, CA 91436-2021

Mailing address

16573 Ventura Blvd Ste 5
Encino, CA 91436-2021
Phone (818) 990-0868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201006000858 CA Practitioner - Physical Therapist in Private Practice 2567881808 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Energy Physical Therapy IncGroup PAC ID 3274572706, 5 clinicians

Practice addresses (Care Compare)

16573 Ventura Blvd
Suite 5
Encino, CA 91436-2021
Phone (818) 990-0868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Feld Care Therapy Inc Physical Therapist CurrentSince Sep 3, 2024 Accepting new patients
Feld Care Therapy Inc Physical Therapist Past Accepting new patients
Independent Physical Therapy Inc Physical Therapist Past Accepting new patients
Independent Physical Therapy Inc Physical Therapist Past Accepting new patients

Locations

100 E Thousand Oaks Blvd
Ste 237
Thousand Oaks, CA 91360
Phone (818) 926-9057

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1518481944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16573 VENTURA BLVD STE 5",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362021",
            "telephone_number": "818-990-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16573 VENTURA BLVD STE 5",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362021",
            "telephone_number": "818-990-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMER",
        "first_name": "RUSLAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-27",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT293056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.