Gratto Aquatic Rehab

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Legal business name

GRATTO AQUATIC REHAB

Doing business as

same

Practice address

13160 Mindanao Way Ste. 308
Marina del Ray, CA 90292

Phone

(310) 492-9355

NPI assigned

Sep 16, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Morris Shapow, DPT, PHDNPI 1477609733

Title

President / Owner

Phone

(310) 492-9355

Specialties & licenses 2

Addresses

Other names 1

• same Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Morris Shapow, RPT

  • Physical Therapist
  • Encino, CA
  • NPI 1477609733
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1578932950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13160 MINDANAO WAY STE. 308",
            "city": "MARINA DEL RAY",
            "state": "CA",
            "postal_code": "90292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13160 MINDANAO WAY STE. 308",
            "city": "MARINA DEL RAY",
            "state": "CA",
            "postal_code": "90292",
            "telephone_number": "310-492-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRATTO AQUATIC REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "SHAPOW",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "310-492-9355",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT, PHD"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "same",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "same",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Golnaz Rouhani, PA-C
• Bolynthia Denise Singleton, PA-C

• Other Specialist/Technologist in Marina del Ray, CA
• Providers in Marina del Ray, CA by specialty
• Other Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.