Organization Active NPI

Miller Integrative Physical Therapy Inc

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1548551559
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MILLER INTEGRATIVE PHYSICAL THERAPY INC
Practice address
1950 Sawtelle Blvd Ste 303
Los Angeles, CA 90025-7073
Phone
(310) 625-0795
NPI assigned
Apr 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Authorized official

Name
Shana Miller
Title
Physical Therapist
Phone
(310) 625-0795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1950 Sawtelle Blvd Ste 303
Los Angeles, CA 90025-7073

Mailing address

1158 26TH St # 458
Santa Monica, CA 90403-4698
Phone (310) 625-0795

National Provider Directory

National Provider Directory

Locations

1950 Sawtelle Blvd
Ste 303
Los Angeles, CA 90025
Phone (310) 473-5151

1158 26th St
#458
Santa Monica, CA 90403

NPI Registry JSON

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1548551559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1158 26TH ST # 458",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034698",
            "telephone_number": "310-625-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 SAWTELLE BLVD STE 303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257073",
            "telephone_number": "310-625-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER INTEGRATIVE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SHANA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "310-625-0795"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.