Individual provider Active NPI

Gary William Munster, RPT

  • Pediatric Physical Therapist
  • Granada Hills, CA
National Provider Identifier
1689785438
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
PT8582 Issued in CA
Practice address
10315 Woodley Ave Ste 107
Granada Hills, CA 91344-6900
Phone
(818) 368-5906
Fax
(818) 368-5906
NPI assigned
Aug 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X PT8582 CA Primary

Addresses

Primary practice location

10315 Woodley Ave Ste 107
Granada Hills, CA 91344-6900

Mailing address

10315 Woodley Ave Ste 107
Granada Hills, CA 91344-6900
Phone (818) 368-5906

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT8582CAMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689785438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10315 WOODLEY AVE STE 107",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446900",
            "telephone_number": "818-368-5906",
            "fax_number": "818-368-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10315 WOODLEY AVE STE 107",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446900",
            "telephone_number": "818-368-5906",
            "fax_number": "818-368-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNSTER",
        "first_name": "GARY",
        "middle_name": "WILLIAM",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "PT8582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

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.

Verify at the official NPI Registry.