Empower Physical Therapy & Aquatics Institute

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

EMPOWER PHYSICAL THERAPY & AQUATICS INSTITUTE

Practice address

777 Corporate Dr Ste 160
Ladera Ranch, CA 92694-2136

Phone

(949) 939-8198

NPI assigned

Jun 29, 2018

Last updated

Sep 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bob Hamidi

Title

Ceo

Phone

(949) 939-8198

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maryam Hamidi, PHYSICAL THERAPIST

  • Physical Therapist
  • Ladera Ranch, CA
  • NPI 1891738639

  Multi-Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1093200222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CORPORATE DR STE 160",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942136",
            "telephone_number": "949-545-7007",
            "fax_number": "833-278-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CORPORATE DR STE 160",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942136",
            "telephone_number": "949-939-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER PHYSICAL THERAPY & AQUATICS INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-29",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "HAMIDI",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-939-8198"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Elizabeth Edwards, LMFT
• Elham Ehteshami-Hunt, MFT
• Mohamed El-Menshawi, MD
• Elizabeth V. Lener, M.D., Inc. (The Dermatology Center at Ladera)
• Raef Mounir Elsanadi, MD
• Todd Blair Engel, DDS
• Todd Engles
• Pejman Eskandani
• Trent David Etter
• Medhat Fahim

• Physical Therapist in Ladera Ranch, CA
• Providers in Ladera Ranch, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.