Magnolia Oaks Physical Therapy Apc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MAGNOLIA OAKS PHYSICAL THERAPY APC

Practice address

14116 Magnolia Blvd
Sherman Oaks, CA 91423-1119

Phone

(818) 789-3819

Fax

(818) 789-3546

NPI assigned

Aug 27, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Emily B Diebold, DPTNPI 1073987251

Title

Ceo

Phone

(818) 789-3819

Specialties & licenses 1

Addresses

Other names 1

• JMP Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily Diebold, DPT

  • Physical Therapist
  • Encino, CA
  • NPI 1073987251
  Medicare reassignment Care Compare group NPD Authorized official
• Julie Craig, P.T.

  • Physical Therapist
  • Sherman Oaks, CA
  • NPI 1922190032
  Medicare reassignment Care Compare group NPD
• Katrina Snouffer, DPT

  • Physical Therapist
  • Ocoee, FL
  • NPI 1770830259

  CA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1831866722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55635",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914130635",
            "telephone_number": "818-789-3819",
            "fax_number": "818-789-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14116 MAGNOLIA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914231119",
            "telephone_number": "818-789-3819",
            "fax_number": "818-789-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA OAKS PHYSICAL THERAPY APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "DIEBOLD",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-789-3819",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JMP Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Macy Pour DDS Inc
• Barig Katherine Madoyan
• Giselle Madrigal
• Sharlyne Madrigal
• Jacqueline Madueno
• Carla Magtira
• Amir Mahdavi, PH.D.
• Zainab Mahmoud, MD
• Mahshid Borna DDS, Inc
• Caroline Main

• Physical Therapist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.

Verify at the official NPI Registry.