Active NPI
Abtin Anvari, PT, DPT
- Sports Physical Therapist
- Corona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- PT300341
- Practice address
- 1280 Corona Pointe CT Ste 118
Corona, CA 92879-1770 - Phone
- (951) 340-3402
- Fax
- (951) 340-3416
- NPI assigned
- Jul 9, 2021
- Last updated
- Jan 20, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT300341 | CA | |
| Sports Physical Therapist | 2251S0007X | PT300341 | CA | Primary |
Addresses
Primary practice location
1280 Corona Pointe CT Ste 118
Corona, CA 92879-1770
Mailing address
30428 Haun Rd Ste 810
Menifee, CA 92584-6824
Phone (951) 696-9353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1280 Corona Pointe CT
Suite 118
Corona, CA 92879-1770
Phone (951) 304-3402
16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT300341 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Repair NB Physical Therapy, Corp | Single Specialty | Current | Accepting new patients |
| Rancho Physical Therapy, Inc. | Single Specialty | Current | Accepting new patients |
| Rancho Physical Therapy, Inc. | Single Specialty | Current | Accepting new patients |
| Rancho Physical Therapy, Inc. | Single Specialty | Past | Accepting new patients |
| Rancho Physical Therapy, Inc. | Single Specialty | Past | Accepting new patients |
Locations
1280 Corona Pointe Ct
Ste 118
Corona, CA 92879
Phone (951) 304-3402
7146 Edinger Ave
Huntington Beach, CA 92647
Phone (714) 377-4314
30428 Haun Rd
Ste 810
Menifee, CA 92584
Phone (951) 723-1866
24021 Alessandro Blvd
Ste 109
Moreno Valley, CA 92553
Phone (951) 485-4594
6850 Brockton Ave
Ste 212
Riverside, CA 92506
Phone (951) 534-0600
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rancho Physical Therapy
- Physical Therapist
- Temecula, CA
- NPI 1679541320
Single Specialty
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
- Physical Therapist
- Newport Beach, CA
- NPI 1134622111
Single Specialty
-
dba Rancho Physical Therapy
- Physical Therapist
- Moreno Valley, CA
- NPI 1285602946
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768867200000",
"number": "1063084093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30428 HAUN RD STE 810",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925846824",
"telephone_number": "951-696-9353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1280 CORONA POINTE CT STE 118",
"city": "CORONA",
"state": "CA",
"postal_code": "928791770",
"telephone_number": "951-340-3402",
"fax_number": "951-340-3416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANVARI",
"first_name": "ABTIN",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-09",
"last_updated": "2026-01-20",
"certification_date": "2026-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT300341",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Sports",
"state": "CA",
"license": "PT300341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.