Nirja Gajjar, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

299048 Issued in CA

Practice address

11611 San Vicente Blvd
Los Angeles, CA 90049-5106

Phone

(925) 430-6630

NPI assigned

Jan 9, 2021

Last updated

Sep 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA, TX2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Origin Physical Therapy Ca IncGroup PAC ID 9133650427, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Origin Physical Therapy Ca Inc

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1982169595
  Medicare reassignment Care Compare group NPD
• Origin Physical Therapy FL PLLC

  • Physical Therapist
  • Austin, TX
  • NPI 1477220861
  Medicare reassignment
• Myodetox California PC Inc.

  dba Myodetox

  • Physical Therapy Clinic/Center
  • West Hollywood, CA
  • NPI 1891482519
  NPD

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

{
    "created_epoch": "1610150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1750979225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 GROSVENOR BLVD APT 209",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900667309",
            "telephone_number": "601-988-3871"
        },
        {
            "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": [],
    "basic": {
        "last_name": "GAJJAR",
        "first_name": "NIRJA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-09",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nirja.gajjar@myodetox.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "address_1": "8354 Santa Monica Blvd",
            "city": "West Hollywood",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900694313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adrianna Gaitan
• Graciela Gaitan
• Mayra Gaitan, LVN
• Sylvia Celia Gaitan
• Kimberly Ann Gaither, RDHAP
• Mary Alice Gajo
• Hannah Gakneras
• Deborah Gakpo
• Gala Dialysis, LLC
• Tejal Mitesh Gala

• 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 Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.