Medstar Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 12100 Issued in CA

Legal business name

MEDSTAR PHYSICAL THERAPY, INC.

Practice address

980 Atlantic Ave
3Rd Floor
Long Beach, CA 90813-4570

Phone

(562) 624-0766

Fax

(562) 624-1150

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Majid SaedifarNPI 1538212873

Title

Owner

Phone

(562) 624-0766

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Medstar Physical Therapy Inc.

  • Physical Therapist
  • Covina, CA
  • NPI 1598919268

  O20040206000943

  Same enrollment
• Medstar Physical Therapy. Inc.

  • Preferred Provider Organization
  • Glendale, CA
  • NPI 1750640736

  O20040206000943

  Same enrollment

Tax ID family

Medstar Physical Therapy Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Medstar Physical Therapy, Inc.

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1497015218
  NPD tax ID
• Medstar Physical Therapy, Inc.

  • Physical Therapist
  • Riverside, CA
  • NPI 1871854315
  NPD tax ID
• Medstar Physical Therapy. Inc.

  • Preferred Provider Organization
  • Glendale, CA
  • NPI 1750640736
  NPD tax ID
• Medstar Physical Therpy, Inc.

  • Physical Therapist
  • Palmdale, CA
  • NPI 1871853697
  NPD tax ID

Locations

Practitioners 1

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

• Majid Saedifar, R.P.T.

  • Physical Therapist
  • Long Beach, CA
  • NPI 1538212873
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184777443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 ATLANTIC AVE",
            "address_2": "3RD FLOOR",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908134570",
            "telephone_number": "562-624-0766",
            "fax_number": "562-624-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 ATLANTIC AVE",
            "address_2": "3RD FLOOR",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908134570",
            "telephone_number": "562-624-0766",
            "fax_number": "562-624-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAEDIFAR",
        "authorized_official_first_name": "MAJID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-624-0766"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 12100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rayveion Laquita Medlock, PNP
• Camille Medrano
• Carley Medrano
• Delaina Ann Medrano, R.N.
• Lidia Medrano
• Tatyana Fedchik Medvedev
• Ashley Meeks
• Dawn Allison Meggerson I, LCSW
• Milka Meharena
• Mini Mehra, M.D.

• Physical Therapist in Long Beach, CA
• Providers in Long 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 Aug 22, 2020; 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.