Individual provider Active NPI

Marc Andrew Hara, MPT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1326104548
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25195 Issued in CA
Practice address
11687 National Blvd
Los Angeles, CA 90064-3801
Phone
(310) 481-9965
NPI assigned
Dec 29, 2006
Last updated
Mar 31, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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 25195 CA Primary

Addresses

Primary practice location

11687 National Blvd
Los Angeles, CA 90064-3801

Mailing address

11687 National Blvd
Los Angeles, CA 90064-3801
Phone (310) 481-9965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081028000864 CA Practitioner - Physical Therapist in Private Practice 8820156243 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MDRS Spine and Sport IncGroup PAC ID 3274446687, 181 clinicians

Practice addresses (Care Compare)

42150 Jackson St
Suite 103
Indio, CA 92203-9780
Phone (442) 300-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Specialists, Inc Physical Therapist CurrentSince Apr 24, 2023 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Apr 21, 2025 Accepting new patients
Jordan Physical Therapy Center Inc Physical Therapist CurrentSince Nov 21, 2022 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Apr 21, 2025 Accepting new patients
Adi Rehab, Incorporated Physical Therapist PastSince Nov 24, 2019 Accepting new patients

Locations

450 Rosewood Ave
Ste 105
Camarillo, CA 93010
Phone (805) 389-4781

1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104

5359 Balboa Blvd
Ste A
Encino, CA 91316
Phone (818) 506-7821

14150 Culver Dr
Ste 103
Irvine, CA 92604
Phone (949) 262-9142

42080 State St
#A
Palm Desert, CA 92211
Phone (760) 568-2894

9852 Business Park Dr
Ste A
Sacramento, CA 95827
Phone (916) 362-7962

2730 Wilshire Blvd
Ste 533
Santa Monica, CA 90403
Phone (310) 273-0870

1801 Cleveland Ave
Ste B
Santa Rosa, CA 95401
Phone (707) 526-4180

10635 Santa Monica Blvd
Ste 165
West Los Angeles, CA 90025
Phone 3102730877143

5850 Canoga Ave
Ste 120
Woodland Hills, CA 91367
Phone (747) 255-4089

Organizations & group practices 5

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1326104548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11687 NATIONAL BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643801",
            "telephone_number": "310-481-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11687 NATIONAL BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643801",
            "telephone_number": "310-481-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARA",
        "first_name": "MARC",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "25195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.