Individual provider Active NPI

Evan Filice, DPT

  • Physical Therapist
  • Granada Hills, CA
National Provider Identifier
1093355174
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
10725 Zelzah Ave Ste B
Granada Hills, CA 91344-4431
Phone
(818) 832-8383
NPI assigned
Jan 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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 CA Primary

Addresses

Primary practice location

10725 Zelzah Ave Ste B
Granada Hills, CA 91344-4431

Mailing address

421 N Griffith Park Dr
Burbank, CA 91506-2031
Phone (818) 400-0304

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200210002513 CA Practitioner - Physical Therapist in Private Practice 1850727876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Star Physical TherapyGroup PAC ID 7719030949, 149 clinicians

Practice addresses (Care Compare)

3989 W Stetson Ave
Suite 105
Hemet, CA 92545-9697
Phone (951) 652-3334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Physical Therapy Inc Physical Therapist CurrentSince Jan 6, 2020 Accepting new patients
All Star Physical Therapy Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients

Locations

16008 Kamana Rd
Ste 200
Apple Valley, CA 92307
Phone (760) 810-7767

10725 Zelzah Ave
#B
Granada Hills, CA 91344
Phone (818) 400-0304

10725 Zelzah Ave
Granada Hills, CA 91344

3989 W Stetson Ave
Ste 105
Hemet, CA 92545
Phone (951) 652-3334

450 W Palmdale Blvd
Palmdale, CA 93551
Phone (661) 273-5333

1338 Main St
Ramona, CA 92065
Phone (760) 789-1400

19510 Ventura Blvd
Ste 106
Tarzana, CA 91356
Phone (818) 996-1725

5620 Wilbur Ave
Ste 103
Tarzana, CA 91356
Phone (818) 345-5825

29645 Rancho California Rd
Ste 234
Temecula, CA 92591
Phone (951) 506-3001

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

Organizations & group practices 2

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": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1093355174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 N GRIFFITH PARK DR",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062031",
            "telephone_number": "818-400-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10725 ZELZAH AVE STE B",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913444431",
            "telephone_number": "818-832-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILICE",
        "first_name": "EVAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.