Organization Active NPI

Mitzilyn Ela Physical Therapy Inc

  • Physical Therapist
  • Torrance, CA
National Provider Identifier
1629271747
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT28854 Issued in CA
Legal business name
MITZILYN ELA PHYSICAL THERAPY INC
Practice address
1555 Sepulveda Blvd Ste M
Torrance, CA 90501-5145
Phone
(310) 381-9784
NPI assigned
Jun 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mitzilyn ElaNPI 1437206380
Title
Owner
Phone
(310) 381-9784

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT28854 CA Primary

Addresses

Primary practice location

1555 Sepulveda Blvd Ste M
Torrance, CA 90501-5145

Mailing address

1555 Sepulveda Blvd Ste M
Torrance, CA 90501-5145

National Provider Directory

National Provider Directory

Locations

2677 Zoe Ave
Ste 111
Huntington Park, CA 90255
Phone (323) 583-4959

1555 Sepulveda Blvd
Ste M
Torrance, CA 90501
Phone (310) 381-9784

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629271747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 SEPULVEDA BLVD STE M",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905015145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SEPULVEDA BLVD STE M",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905015145",
            "telephone_number": "310-381-9784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITZILYN ELA PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELA",
        "authorized_official_first_name": "MITZILYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-381-9784"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.