Active NPI
Lily Ahn
- Physical Therapist
- Irvine, CA
National Provider Identifier
1225718463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 304252
- Practice address
- 17332 Von Karman Ave Ste 120
Irvine, CA 92614-6282 - Phone
- (949) 861-8600
- NPI assigned
- Jul 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 304252 | CA | Primary |
Addresses
Primary practice location
17332 Von Karman Ave Ste 120
Irvine, CA 92614-6282
Mailing address
26038 Redoak St
Menifee, CA 92584-3823
Phone (323) 482-0033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304252 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impt, Inc. | Physical Therapist | Current | Accepting new patients |
| Ascend Laguna Woods Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
Locations
17332 Von Karman Ave
Ste 120
Irvine, CA 92614
Phone (949) 861-8600
24361 El Toro Rd
Ste 140
Laguna Woods, CA 92637
Phone (949) 540-7560
Organizations & group practices 2
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 Therapist
- Laguna Woods, CA
- NPI 1265291124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689897600000",
"number": "1225718463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26038 REDOAK ST",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925843823",
"telephone_number": "323-482-0033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17332 VON KARMAN AVE STE 120",
"city": "IRVINE",
"state": "CA",
"postal_code": "926146282",
"telephone_number": "949-861-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHN",
"first_name": "LILY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-21",
"last_updated": "2023-07-21",
"certification_date": "2023-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "304252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.