Mksdpt Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT36431 Issued in CA

Legal business name

MKSDPT INC

Practice address

8500 Wilshire Blvd
Beverly Hills, CA 90211-3121

Phone

(310) 659-3389

NPI assigned

Jan 5, 2017

Organization subpart

No

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

Authorized official

Name

Matthew Szkalak, DPTNPI 1073822920

Title

Owner

Phone

(949) 933-9630

Specialties & licenses 1

Addresses

Other names 1

• MKS Physical Therapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew K. Szkalak, DPT

  • Physical Therapist
  • Costa Mesa, CA
  • NPI 1073822920
  NPD (past) Authorized official

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1689119232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 W WILSON ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272469",
            "telephone_number": "949-933-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 WILSHIRE BLVD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113121",
            "telephone_number": "310-659-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MKSDPT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "SZKALAK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-933-9630",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT36431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MKS Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joel D Mittleman, M.D.,
• Michael Tetsuya Miyazaki, D.O.
• Parvaz Farnad Mizrahi, D.D.S.
• Sanam Farokhi Mizrahi, PHARM D
• Lilia Mkhitaryan, APRN, FNP
• Mmi Medical Group, Inc.
• Evelina Mnatsakanyan, AUD
• Laleh Moazemi, RDH
• Mobile Cardiac Imaging
• Mobin Medical Corporation

• Physical Therapist in Beverly Hills, CA
• Providers in Beverly Hills, 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 5, 2017; 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.