Active NPI
Stephen G. Mikita, R.P.T.
- Physical Therapist
- Granada Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT28298
- Practice address
- 10718 White Oak Ave
Suite 2
Granada Hills, CA 91344-4628 - Phone
- (818) 368-9484
- Fax
- (818) 368-8054
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | PT28298 | CA | Primary |
Addresses
Primary practice location
10718 White Oak Ave
Suite 2
Granada Hills, CA 91344-4628
Mailing address
10718 White Oak Ave
Suite 2
Granada Hills, CA 91344-4628
Phone (818) 368-9484
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28298 | CA | MD | Physical Therapist |
| PT28298 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care to You Health | Physical Therapist | Current | Accepting new patients |
| SG Mikita RPT a Physical Therapy Corporation | Physical Therapist | Current | Accepting new patients |
Locations
10718 White Oak Ave
Ste 2
Granada Hills, CA 91344
Phone (818) 368-9484
10667 White Oak Ave
Granada Hills, CA 91344
Phone (818) 368-9484
2102 Business Center Dr
Irvine, CA 92612
Phone (562) 541-8950
2570 N 1st St
Fl 2
San Jose, CA 95131
Phone (408) 404-4900
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Capistrano Beach, CA
- NPI 1700448735
-
- Physical Therapy Clinic/Center
- Granada Hills, CA
- NPI 1487826889
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790712644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10718 WHITE OAK AVE",
"address_2": "SUITE 2",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913444628",
"telephone_number": "818-368-9484",
"fax_number": "818-368-8054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10718 WHITE OAK AVE",
"address_2": "SUITE 2",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913444628",
"telephone_number": "818-368-9484",
"fax_number": "818-368-8054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKITA",
"first_name": "STEPHEN",
"middle_name": "G.",
"credential": "R.P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT28298",
"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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.