Omid Farvili, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT25997 Issued in CA

Practice address

130 Louise St
Glendale, CA 91206

Phone

(818) 343-2073

Fax

(818) 343-2074

NPI assigned

Jun 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Fusion Aquatic Physical Therapy Inc

  • Physical Therapist
  • Van Nuys, CA
  • NPI 1780943902
  NPD (past)

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114121035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6718 ANDASOL AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914065412",
            "telephone_number": "818-343-2073",
            "fax_number": "818-343-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LOUISE ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91206",
            "telephone_number": "818-343-2073",
            "fax_number": "818-343-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARVILI",
        "first_name": "OMID",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT25997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaac Farber
• Gholam H Farboody, MD
• Farhad Melamed M D a Medical Corporation
• Farma Pharmaceuticals, Inc.
• Justin Farrell
• Daniel Alison Farwell, PT, DPT
• Fast Doc Home Health Inc
• Fate Hospice Inc
• Lisa Fatemi
• Favorite Care Home Health, Inc.

• Physical Therapist in Glendale, CA
• Providers in Glendale, CA by specialty
• Physical Therapist in California

• 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.