Active NPI
Mirnalini Vimal Vimal Nathan
- Physical Therapist
- New York, NY
National Provider Identifier
1689708968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 027977
- Practice address
- 25 W 17TH St
New York, NY 10011-5501 - Phone
- (212) 645-5005
- NPI assigned
- Mar 16, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 027977 | NY | Primary |
Addresses
Primary practice location
25 W 17TH St
New York, NY 10011-5501
Mailing address
43 Scherer CT
Lawrenceville, NJ 08648
Phone (732) 423-7065
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": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689708968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 SCHERER CT",
"city": "LAWRENCEVILLE",
"state": "NJ",
"postal_code": "08648",
"telephone_number": "732-423-7065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 W 17TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100115501",
"telephone_number": "212-645-5005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIMAL NATHAN",
"first_name": "MIRNALINI VIMAL",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "027977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.