Sheila Ghovanlou, PT, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

39547 Issued in CA

Practice address

13836 Bora Bora Way
Apt 218
Marina del Rey, CA 90292-6884

Phone

(916) 715-0599

NPI assigned

Nov 9, 2012

Last updated

Nov 9, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352419200000",
    "number": "1235483439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13836 BORA BORA WAY",
            "address_2": "APT 218",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926884",
            "telephone_number": "916-715-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13836 BORA BORA WAY",
            "address_2": "APT 218",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926884",
            "telephone_number": "916-715-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOVANLOU",
        "first_name": "SHEILA",
        "credential": "PT, MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-09",
        "last_updated": "2012-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "39547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Generation Medical Services, a Med Corp
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• George T Cyril M.D., Inc
• Justis George, P.T.
• Tonya George, PA
• Lisa Beverly Giffen
• Joselyn Gissell Gil
• Robert Joseph Giombetti, M.D.
• Eryn Gitelis
• Glenn Martin Lipton, MD, AMC

• Physical Therapist in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.