Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ethan-Ira B Mamuric, DPT

Individual provider Physical Therapist · NPI 1386306736

Dr. Ethan-Ira B Mamuric, DPT is a Physical Therapist in Beverly Hills, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

201 N Robertson Blvd
Beverly Hills, CA 90211-1729
Phone: (424) 303-7647
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 301131 (CA)

Record details

NPI number1386306736
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 12, 2021
Last updated in NPPESOctober 12, 2021
Certification dateOctober 12, 2021

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