Active NPI
Ann Mori, PT
- Physical Therapist
- La Canada Flintridge, CA
National Provider Identifier
1619998101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT10483
- Practice address
- 650 Foothill Blvd
Suite a
La Canada Flintridge, CA 91011-3429 - Phone
- (818) 952-0906
- Fax
- (818) 952-0906
- NPI assigned
- Jul 21, 2006
- 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 | PT10483 | CA | Primary |
Addresses
Primary practice location
650 Foothill Blvd
Suite a
La Canada Flintridge, CA 91011-3429
Mailing address
650 Foothill Blvd
La Canada Flintridge, CA 91011-3429
Phone (818) 952-0906
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10483 | Other | CA | PHYSICAL THERAPY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280966400000",
"number": "1619998101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 FOOTHILL BLVD",
"city": "LA CANADA FLINTRIDGE",
"state": "CA",
"postal_code": "910113429",
"telephone_number": "818-952-0906",
"fax_number": "818-952-0906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 FOOTHILL BLVD",
"address_2": "SUITE A",
"city": "LA CANADA FLINTRIDGE",
"state": "CA",
"postal_code": "910113429",
"telephone_number": "818-952-0906",
"fax_number": "818-952-0906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORI",
"first_name": "ANN",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2010-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT10483",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY",
"identifier": "10483",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in La Canada Flintridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.