Organization Active NPI

KNT Physical Therapy Inc.

  • Physical Therapist
  • Beverly Hills, CA
National Provider Identifier
1144375437
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT18513 Issued in CA
Legal business name
KNT PHYSICAL THERAPY INC.
Practice address
9001 Wilshire Blvd
102
Beverly Hills, CA 90211-1838
Phone
(310) 550-8585
Fax
(310) 860-0506
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Mr. Kourosh Soliman Tehrani, PTNPI 1760540769
Title
President
Phone
(310) 550-8585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT18513 CA Primary

Addresses

Primary practice location

9001 Wilshire Blvd
102
Beverly Hills, CA 90211-1838

Mailing address

9001 Wilshire Blvd
102
Beverly Hills, CA 90211-1838
Phone (310) 550-8585

Other identifiers 2

IdentifierTypeStateIssuer
675803OtherCAUNITED HEALTH CARE
ZZZ06500ZOtherCABLUE SHIELD OF CALIFORNIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070219000433 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3577665793 Receives reassigned benefits from 1 practitioner
Practice locations: Beverly Hills, CA

National Provider Directory

National Provider Directory

Locations

9001 Wilshire Blvd
Ste 208
Beverly Hills, CA 90211
Phone (310) 550-8585

9001 Wilshire Blvd
Ste 102
Beverly Hills, CA 90211
Phone (310) 550-8585

16661 Ventura Blvd
Ste 314
Encino, CA 91436
Phone (818) 528-3669

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1144375437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 WILSHIRE BLVD",
            "address_2": "102",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111838",
            "telephone_number": "310-550-8585",
            "fax_number": "310-860-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 WILSHIRE BLVD",
            "address_2": "102",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111838",
            "telephone_number": "310-550-8585",
            "fax_number": "310-860-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNT PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "TEHRANI",
        "authorized_official_first_name": "KOUROSH",
        "authorized_official_middle_name": "SOLIMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-550-8585",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT18513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "675803",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ06500Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.