Shafa Physical Therapy, Sport Injury and Rehabilitation Center, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 34634 Issued in CA

Legal business name

SHAFA PHYSICAL THERAPY, SPORT INJURY AND REHABILITATION CENTER, INC.

Practice address

11819 Wilshire Blvd
Suite # 205
Los Angeles, CA 90025-6619

Phone

(310) 777-7594

NPI assigned

May 26, 2010

Organization subpart

No

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

Authorized official

Name

Doris ShadroozNPI 1194044461

Title

PT

Phone

(310) 552-9575

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Doris Shadrooz, PT

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1194044461
  NPD (past) Authorized official

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1033438379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6597",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902126597",
            "telephone_number": "310-777-7594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11819 WILSHIRE BLVD",
            "address_2": "SUITE # 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256619",
            "telephone_number": "310-777-7594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAFA PHYSICAL THERAPY, SPORT INJURY AND REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "SHADROOZ",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "310-552-9575"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 34634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aida Shadrav, DMD
• Sonya Shadravan
• Daniela S Shadrooz
• Doris Shadrooz, PT
• Sydney Rae Shaevel, MFT
• Bob Babak Shafa, MD
• Farhad Shafa, DDS
• Mark Mahbod Shafa, MD
• Shadi Shafagh
• Neda Shafaghi, M.D.

• Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.