Individual provider Active NPI

Carole Adel Beblawi

  • Physical Therapist
  • South Pasadena, CA
National Provider Identifier
1083738520
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 27047 Issued in CA
Practice address
538 Mission St
South Pasadena, CA 91030-3036
Phone
(626) 403-1444
Fax
(626) 628-3905
NPI assigned
Mar 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT 27047 CA Primary

Addresses

Primary practice location

538 Mission St
South Pasadena, CA 91030-3036

Mailing address

538 Mission St
South Pasadena, CA 91030-3036
Phone (626) 403-1444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 27047CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Huntington Rehabilitation Medicine Associates Physical Therapist Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083738520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 MISSION ST",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303036",
            "telephone_number": "626-403-1444",
            "fax_number": "626-628-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 MISSION ST",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303036",
            "telephone_number": "626-403-1444",
            "fax_number": "626-628-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEBLAWI",
        "first_name": "CAROLE",
        "middle_name": "ADEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 27047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.