Active NPI
Aimee Anagnostos
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1639780877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01939800
- Practice address
- 11611 San Vicente Blvd
Los Angeles, CA 90049-5106 - Phone
- (925) 430-6630
- NPI assigned
- Aug 12, 2020
- Last updated
- Jun 7, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01939800 | NJ | Primary |
| Physical Therapist | 225100000X | NU |
Addresses
Primary practice location
11611 San Vicente Blvd
Los Angeles, CA 90049-5106
Mailing address
119 Forest Dr
Piscataway, NJ 08854-2273
Phone (732) 343-3063
Other practice location 1
7 Carnegie Plz
Cherry Hill, NJ 08003-1000
Phone (877) 407-3422
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": "1597190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1639780877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 FOREST DR",
"city": "PISCATAWAY",
"state": "NJ",
"postal_code": "088542273",
"telephone_number": "732-343-3063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11611 SAN VICENTE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900495106",
"telephone_number": "925-430-6630"
}
],
"practiceLocations": [
{
"address_1": "7 Carnegie Plz",
"address_purpose": "LOCATION",
"city": "Cherry Hill",
"state": "NJ",
"postal_code": "080031000",
"country_code": "US",
"telephone_number": "877-407-3422",
"fax_number": "877-407-4329",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANAGNOSTOS",
"first_name": "AIMEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-12",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01939800",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
- Ana M. Gajardo, DDS, Inc.
- Ana Santaolalla, Licensed Marriage and Family Therapy (Bridge Therapy Group)
- Estelle Villarez Ana, LSW
- Dominique Anabalon
- Anafarm Home Health Inc
- Manjari Shrikant Anagol, M.D
- Anaheim Urgent Care, Inc (UrgentMed)
- Anaheim Urgent Care, Inc (Fairfax Urgent Care)
- Anaheim Urgent Care, Inc (Urgentmed-Brentwood)
- Anaheim Urgent Care, Inc. (Mar Vista Urgent Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.