Individual provider Active NPI

Alexandra Gutman, MPT

  • Physical Therapist
  • West Hollywood, CA
National Provider Identifier
1922261023
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
34136 Issued in CA
Practice address
1017 N Spaulding Ave
Apt 1
West Hollywood, CA 90046-6238
Phone
(310) 467-1919
NPI assigned
Jul 8, 2008
Last updated
Feb 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 34136 CA Primary

Addresses

Primary practice location

1017 N Spaulding Ave
Apt 1
West Hollywood, CA 90046-6238

Mailing address

1017 N Spaulding Ave
Apt 1
West Hollywood, CA 90046-6238
Phone (310) 467-1919

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1922261023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 N SPAULDING AVE",
            "address_2": "APT 1",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900466238",
            "telephone_number": "310-467-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 N SPAULDING AVE",
            "address_2": "APT 1",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900466238",
            "telephone_number": "310-467-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTMAN",
        "first_name": "ALEXANDRA",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "34136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; 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.