Maria Elena Mittelstadt, PTA, ATC, ESWT TECH

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

AT4322 Issued in CA

Practice address

10334 Wish Ave
Granada Hills, CA 91344-6243

Phone

(818) 363-4090

NPI assigned

May 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811107808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10334 WISH AVE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446243",
            "telephone_number": "818-363-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10334 WISH AVE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446243",
            "telephone_number": "818-363-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTELSTADT",
        "first_name": "MARIA",
        "middle_name": "ELENA",
        "name_prefix": "Mrs.",
        "credential": "PTA, ATC, ESWT TECH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT4322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Mills, PT
• Kyung Un Min, D.C.
• Siuneh Minassian
• Robert Minassians
• Mirna Villatoro
• Lexington Jean Mix, MA MFT
• Anush Mkrtchyan, RD
• Serine Mkrtchyan, DOCTOR OF OPTOMETRY
• George Mnatsakanyan, OD
• Mobile Advanced Nursing, Inc.

• Physical Therapy Assistant in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Physical Therapy Assistant in California

• 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.