Militsa Mimi Dragicevich, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6555 Issued in CA

Practice address

13633 Victory Blvd
Van Nuys, CA 91401-1735

Phone

(818) 988-7156

NPI assigned

May 14, 2012

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)

Enrolled

State licenses

Practice roles

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.

• Elite Physical Therapy & Wellness Center, Inc

  • Physical Therapist
  • Van Nuys, CA
  • NPI 1588956916
  NPD (past)
• Elite Physical Therapy, LLC

  • Physical Therapist
  • Van Nuys, CA
  • NPI 1164730628
  NPD (past)

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1811256639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12431 MAGNOLIA ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928413321",
            "telephone_number": "714-539-3155",
            "fax_number": "888-475-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13633 VICTORY BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011735",
            "telephone_number": "818-988-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAGICEVICH",
        "first_name": "MILITSA",
        "middle_name": "MIMI",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-14",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "6555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Joseph Hakimi D.D.S. Inc.
• Dr. Lourdes S. Aquino Dental Corp.
• Dr. Nasser Redjal M.D. a Professional Corporation
• Dmitry Drabkin
• Julia Drabkin
• Richelle Jeannine Drake, CLT, MT
• Shiva Drakhshani, D.C.
• Dream Big MF, Inc (Gloria detox and rehab center)
• Dreamland Senior Living Inc
• Sandra J Drews

• Occupational Therapist in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.