Individual provider Active NPI

Kelly Alhooie, DPT

  • Physical Therapist
  • Tustin, CA
National Provider Identifier
1235483553
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
293181 Issued in CA
Practice address
13891 Newport Ave Ste 285
Tustin, CA 92780-7840
Phone
(714) 770-8222
Fax
(714) 770-8228
NPI assigned
Nov 8, 2012
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 293181 CA Primary

Addresses

Primary practice location

13891 Newport Ave Ste 285
Tustin, CA 92780-7840

Mailing address

13891 Newport Ave Ste 285
Tustin, CA 92780-7840
Phone (714) 770-8222

Other practice location 1

600 Chastain Rd NW
Kennesaw, GA 30144-3004
Phone (770) 425-6701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
293181CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopelvic Physical Therapy Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1235483553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13891 NEWPORT AVE STE 285",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807840",
            "telephone_number": "714-770-8222",
            "fax_number": "714-770-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13891 NEWPORT AVE STE 285",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807840",
            "telephone_number": "714-770-8222",
            "fax_number": "714-770-8228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Chastain Rd NW",
            "address_purpose": "LOCATION",
            "city": "Kennesaw",
            "state": "GA",
            "postal_code": "301443004",
            "country_code": "US",
            "telephone_number": "770-425-6701",
            "fax_number": "770-916-3210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALHOOIE",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "293181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.