Active NPI
Amy Gabrielle Geriak, MPT
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1962545236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25892
- Practice address
- 11500 W Olympic Blvd
Suite 350
Los Angeles, CA 90064-1524 - Phone
- (310) 473-8287
- Fax
- (310) 477-3909
- NPI assigned
- Feb 15, 2007
- 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 | 25892 | CA | Primary |
Addresses
Primary practice location
11500 W Olympic Blvd
Suite 350
Los Angeles, CA 90064-1524
Mailing address
13926 San Antonio Dr
Norwalk, CA 90650-4035
Phone (213) 500-6786
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25892 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Momentum Physical Therapy | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Los Angeles, CA
- NPI 1760547467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962545236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13926 SAN ANTONIO DR",
"city": "NORWALK",
"state": "CA",
"postal_code": "906504035",
"telephone_number": "213-500-6786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11500 W OLYMPIC BLVD",
"address_2": "SUITE 350",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641524",
"telephone_number": "310-473-8287",
"fax_number": "310-477-3909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERIAK",
"first_name": "AMY",
"middle_name": "GABRIELLE",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "25892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.