Itamara Abedi

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

292871 Issued in CA

Practice address

1200 Cypress Point LN
Ventura, CA 93003-6037

Phone

(818) 986-1977

NPI assigned

Dec 10, 2021

Last updated

Dec 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1033878665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16260 VENTURA BLVD STE 600",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CYPRESS POINT LN",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036037",
            "telephone_number": "818-986-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABEDI",
        "first_name": "ITAMARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NetHealth",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "1200 Cypress Point Ln",
            "city": "Ventura",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930036037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Abbott & Burkhart Therapy
• Abbott and Burkhart Therapy
• Cailin Grace Abbott
• Laurie Kathleen Abbott, OTR/L
• Julie Anne Abed, LCSW
• Nicole Lynn Abell, DO
• Jenna Abeloe, NP
• Anna Marie Aberion, OTR/L
• Eleanor Abiva, RN
• Moustapha Abou-Samra, MD

• Physical Therapist in Ventura, CA
• Providers in Ventura, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.