Centerimt Los Angeles

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CENTERIMT LOS ANGELES

Doing business as

CenterIMT Orange County

Practice address

8540 S Sepulveda Blvd
Ste 702
Los Angeles, CA 90045-3807

Phone

(310) 649-5339

NPI assigned

May 18, 2006

Last updated

Oct 12, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julie ShishinoNPI 1710931340

Title

Physical Therapist

Phone

(310) 649-5339

Specialties & licenses 1

Addresses

Other names 1

• CenterIMT Orange County Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie T Shishino, P.T.

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1710931340
  Authorized official Same address or phone
• Ayelet Connell - Giammatteo, PT

  • Physical Therapist
  • Bloomfield, CT
  • NPI 1558498931
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1821041393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD",
            "address_2": "STE 702",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453807",
            "telephone_number": "310-649-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD",
            "address_2": "STE 702",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453807",
            "telephone_number": "310-649-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERIMT LOS ANGELES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "SHISHINO",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "310-649-5339"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CenterIMT Orange County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Darls Centola, LCSW

• 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 Oct 12, 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.