Jennifer Nicolla Rai, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

34072 Issued in CA

Practice address

415 N Crescent Dr
Suite 130
Beverly Hills, CA 90210-4860

Phone

(310) 273-0877

Fax

(310) 273-1189

NPI assigned

Mar 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer Lynn Nicolla Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Nicolla and Associates, PT & OT Services, PLLC

  • Specialist
  • Latham, NY
  • NPI 1487633152
  Medicare reassignment
• Adi Rehab, Incorporated

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1104850197
  NPD (past)
• Function Physical Therapy Inc

  • Physical Therapist
  • West Hollywood, CA
  • NPI 1447276290
  NPD (past)
• Joan Schmidt Orthopedic Physical Therapy

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1982617569
  NPD (past)

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470009600000",
    "number": "1992764716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N CRESCENT DR",
            "address_2": "SUITE 130",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104860",
            "telephone_number": "310-273-0877",
            "fax_number": "310-273-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N CRESCENT DR",
            "address_2": "SUITE 130",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104860",
            "telephone_number": "310-273-0877",
            "fax_number": "310-273-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAI",
        "first_name": "JENNIFER",
        "middle_name": "NICOLLA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2016-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023503-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "34072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "NICOLLA",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mathew Rahban
• Shahrad Rady Rahban, MD
• Raheleh Sarbaziha MD Inc
• Mahtab Rahnama, PHARM D
• Nancy P Rahnama, MD
• Rainbow Surgery Group a Professional Medical Corporation
• Raisdana Roshan Anesthesiology Professional Corporation
• Rajan Patel Corporation
• Indhushree S. Rajan, PH.D.
• Rasa Rajanayagam, MD

• Physical Therapist in Beverly Hills, CA
• Providers in Beverly Hills, 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 1, 2016; 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.