Individual provider Active NPI

Jordan S Istrin, DPT

  • Physical Therapist
  • Beverly Hills, CA
National Provider Identifier
1275077646
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT292560 Issued in CA
Practice address
424 N Palm Dr Unit 303
Beverly Hills, CA 90210-5718
Phone
(310) 625-2535
NPI assigned
Dec 5, 2016
Last updated
Jun 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT292560 CA Primary
Hand Physical Therapist 2251H1200X PT292560 CA
Orthopedic Physical Therapist 2251X0800X PT292560 CA

Addresses

Primary practice location

424 N Palm Dr Unit 303
Beverly Hills, CA 90210-5718

Mailing address

424 N Palm Dr Unit 303
Beverly Hills, CA 90210-5718
Phone (310) 625-2535

Other identifiers 1

IdentifierTypeStateIssuer
PT292560OtherCAPT292560

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
PT292560CAMDHand Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Hand Therapy Inc. Multi-Specialty PastSince Apr 10, 2017 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": "1480896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1275077646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 N PALM DR UNIT 303",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105718",
            "telephone_number": "310-625-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 N PALM DR UNIT 303",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105718",
            "telephone_number": "310-625-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISTRIN",
        "first_name": "JORDAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-05",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT292560",
            "primary": true
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "CA",
            "license": "PT292560",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT292560",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT292560",
            "identifier": "PT292560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.