Maxine Kay Babazadeh, M.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

41107 Issued in CA

Practice address

3205 Clay St
Newport Beach, CA 92663-4206

Phone

(310) 621-6225

NPI assigned

Apr 2, 2014

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1154749562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 CLAY ST",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634206",
            "telephone_number": "310-621-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 CLAY ST",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634206",
            "telephone_number": "310-621-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABAZADEH",
        "first_name": "MAXINE",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "M.P.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "41107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• B Oconnor MD a Professional Medical Corporation
• Kenichi Baba, D.D.S.
• Babak N. Rad, M.D., Inc.
• Babak Pezeshki, M.D., a Professional Corporation
• Vivek Babaria, D.O.
• Ganna Babenko
• Katia Babitzke
• Nicholas M. Bacher, MD
• Back Bay Imaging Inc.
• Back Bay Medical LLC

• Physical Therapist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.