Active NPI
Tamanna Rohan Mahadik, PT
- Physical Therapist
- Costa Mesa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 301951
- Practice address
- 1520 Nutmeg PL Ste 111
Costa Mesa, CA 92626-2557 - Phone
- (714) 979-3500
- NPI assigned
- Oct 24, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 033803 | NY | |
| Physical Therapist | 225100000X | 301951 | CA | Primary |
Addresses
Primary practice location
1520 Nutmeg PL Ste 111
Costa Mesa, CA 92626-2557
Mailing address
1520 Nutmeg PL Ste 111
Costa Mesa, CA 92626-2557
Phone (714) 979-3500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1310 W Stewart Dr
Suite 404
Orange, CA 92868-3855
Phone (714) 707-6466
18800 Delaware St
Suite 350
Huntington Beach, CA 92648-6084
Phone (714) 848-8318
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 301951 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select CS Physical Therapy, P.C. | Physical Therapist | Current | Accepting new patients |
| Select Cal Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Select Cal Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Select CS Physical Therapy, P.C. | Current | Accepting new patients | |
| Select CS Physical Therapy, P.C. | Current | Accepting new patients | |
| Select Cal Physical Therapy PC | Current | Accepting new patients | |
| R.G. Medical, PC | Past | Accepting new patients |
Locations
1520 Nutmeg Pl
Ste 111
Costa Mesa, CA 92626
Phone (714) 979-3500
10540 Talbert Ave
Ste 250W
Fountain Vly, CA 92708
Phone (714) 964-0727
360 Dardanelli Ln
Ste 1F
Los Gatos, CA 95032
Phone (408) 374-8823
929 Pacific St
Monterey, CA 93940
Phone (831) 373-1209
1310 W Stewart Dr
Ste 404
Orange, CA 92868
Phone (714) 707-6466
268 Redwood Shores Pkwy
Redwood City, CA 94065
Phone (650) 591-9581
Organizations & group practices 7
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.
-
- Physical Therapy Clinic/Center
- Marina del Rey, CA
- NPI 1043894090
Physical Therapist
-
- Physical Therapy Clinic/Center
- Los Gatos, CA
- NPI 1417619008
Physical Therapist
-
- Physical Therapy Clinic/Center
- Morgan Hill, CA
- NPI 1487317004
Physical Therapist
-
- Physical Therapy Clinic/Center
- Watsonville, CA
- NPI 1538822176
-
- Physical Therapy Clinic/Center
- Beverly Hills, CA
- NPI 1275220246
-
- Physical Therapy Clinic/Center
- Westminster, CA
- NPI 1932783040
-
- Physical Medicine & Rehabilitation Physician
- Bronx, NY
- NPI 1720007891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681171200000",
"number": "1174809057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 NUTMEG PL STE 111",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926262557",
"telephone_number": "714-979-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 NUTMEG PL STE 111",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926262557",
"telephone_number": "714-979-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHADIK",
"first_name": "TAMANNA",
"middle_name": "ROHAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-24",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "033803",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "301951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.