Active NPI
Emily Whalen, D.P.T.
- Physical Therapist
- Marina del Rey, CA
National Provider Identifier
1831335306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 35214
- Practice address
- 4820 Lincoln Blvd
Marina del Rey, CA 90292-6917 - Phone
- (310) 822-0041
- NPI assigned
- Jan 5, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 35214 | CA | Primary |
Addresses
Primary practice location
4820 Lincoln Blvd
Marina del Rey, CA 90292-6917
Mailing address
408 E Mariposa Ave
El Segundo, CA 90245-3010
Phone (310) 648-8258
Other practice location 1
68 Willow Rd
Menlo Park, CA 94025-3653
Phone (877) 390-6659
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35214 | CA | MD | Dentist |
| 35217 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554249600000",
"number": "1831335306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 E MARIPOSA AVE",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902453010",
"telephone_number": "310-648-8258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4820 LINCOLN BLVD",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902926917",
"telephone_number": "310-822-0041"
}
],
"practiceLocations": [
{
"address_1": "68 Willow Rd",
"address_purpose": "LOCATION",
"city": "Menlo Park",
"state": "CA",
"postal_code": "940253653",
"country_code": "US",
"telephone_number": "877-390-6659",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHALEN",
"first_name": "EMILY",
"name_prefix": "Mrs.",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-05",
"last_updated": "2019-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "35214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marina del Rey, CA
- Sandie West, LMT
- Western Diagnostic & Therapeutic Radiology Medical Group, Inc.
- Western Imaging Marina del Rey Inc
- Western Imaging, Marina del Rey
- Westside Therapy Services
- La Creasure White, NP-C
- Erin V Wigger, LMFT
- Gary Dewayne Wiley Jr., PA-C
- Samantha Wilhelm, MS, PA-C
- Renee Marie Wilkinson, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.