Individual provider Active NPI

Mimi P. Ton, DPT

  • Physical Therapist
  • Beverly Hills, CA
National Provider Identifier
1639502453
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT40116 Issued in CA
Practice address
200 N Robertson Blvd
Suite 301
Beverly Hills, CA 90211-1769
Phone
(310) 273-8256
Fax
(310) 273-8542
NPI assigned
Aug 15, 2013
Last updated
Oct 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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 PT40116 CA Primary

Addresses

Primary practice location

200 N Robertson Blvd
Suite 301
Beverly Hills, CA 90211-1769

Mailing address

200 N Robertson Blvd
Suite 301
Beverly Hills, CA 90211-1769
Phone (310) 273-8256

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140331000400 CA Practitioner - Physical Therapist in Private Practice 7618108986 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT40116CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Remi Ajiboye MD Inc. CurrentSince May 12, 2024 Accepting new patients
State-of-the-Art Physical Therapy, Inc. Physical Therapist CurrentSince Aug 26, 2022 Accepting new patients
Adi Rehab, Incorporated Physical Therapist PastSince Nov 24, 2019 Accepting new patients
W. Seth Bolling, MD, Inc PastSince Sep 21, 2015 Accepting new patients
Cypress Physical Therapy Center, Inc. Physical Therapist PastSince Sep 24, 2023 Accepting new patients
Pearl Chiropractic Inc PastSince Jul 23, 2020 Accepting new patients
Restorative Therapy Associates Physical Therapist Past Accepting new patients

Locations

20911 Earl St
Ste 300
Torrance, CA 90503
Phone (310) 370-1200

2492 Walnut Ave
Ste 140
Tustin, CA 92780
Phone (714) 544-2188

Organizations & group practices 8

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": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443657600000",
    "number": "1639502453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N ROBERTSON BLVD",
            "address_2": "SUITE 301",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111769",
            "telephone_number": "310-273-8256",
            "fax_number": "310-273-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N ROBERTSON BLVD",
            "address_2": "SUITE 301",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111769",
            "telephone_number": "310-273-8256",
            "fax_number": "310-273-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TON",
        "first_name": "MIMI",
        "middle_name": "P.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2015-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT40116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.