Individual provider Active NPI

Maral Hassanshahi, PT, DPT

  • Physical Therapist
  • Burlingame, CA
National Provider Identifier
1043895972
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
302263 Issued in CA
Practice address
1008 Carolan Ave Apt 1318
Burlingame, CA 94010-2699
Phone
(202) 790-2938
Fax
(650) 288-6883
NPI assigned
Mar 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 302263 CA Primary

Addresses

Primary practice location

1008 Carolan Ave Apt 1318
Burlingame, CA 94010-2699

Mailing address

1008 Carolan Ave Apt 1318
Burlingame, CA 94010-2699
Phone (202) 790-2938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240530000245 CA Practitioner - Physical Therapist in Private Practice 5395187801 Practice locations: Burlingame, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1633 Bayshore Hwy
Suite 220
Burlingame, CA 94010-1535
Phone (650) 288-6855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
302263CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kylie Rowe Dba Living Healthy Physical Therapy Current 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.

NPI Registry JSON

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1043895972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 CAROLAN AVE APT 1318",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940102699",
            "telephone_number": "202-790-2938",
            "fax_number": "650-288-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 CAROLAN AVE APT 1318",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940102699",
            "telephone_number": "202-790-2938",
            "fax_number": "650-288-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSANSHAHI",
        "first_name": "MARAL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.