MB Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT36431 Issued in CA

Legal business name

MB PHYSICAL THERAPY PC

Practice address

2010 Wilshire Blvd Ste 809
Los Angeles, CA 90057-3594

Phone

(213) 252-1985

NPI assigned

Jan 3, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Matt Skalak, DPT

Title

President

Phone

(949) 330-3832

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1649691932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32061 CAMINO DEL CIELO",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926793440",
            "telephone_number": "949-330-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 WILSHIRE BLVD STE 809",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573594",
            "telephone_number": "213-252-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MB PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "SKALAK",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-330-3832",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT36431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malek Mazzawi, M.D.
• Heather Mazzei
• John C Mazziotta, M.D.
• Marie Ellen Mazzone, D.D.S.
• Jack Mazzulo, MD
• Mba Psychiatric Services, Inc.
• Helena O Mba, MD
• Chika Mbadugha, PHYSICIAN ASSISTANT
• Florence Mbanu
• Florence Ngozi Mbata

• Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.