Individual provider Active NPI

Ashkan Ashkani

  • Physical Therapist
  • Millsbro, DE
National Provider Identifier
1376178459
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0004197 Issued in DE
Practice address
Back Bay Area Park Center
26396 Bay Farm Rd , Unit #1
Millsbro, DE 19966
Phone
(302) 947-9662
NPI assigned
Mar 9, 2020
Last updated
Mar 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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 J1-0004197 DE Primary

Addresses

Primary practice location

Back Bay Area Park Center
26396 Bay Farm Rd , Unit #1
Millsbro, DE 19966

Mailing address

298 Warwick St Apt 23
Dahlonega, GA 30533-1134
Phone (706) 300-5710

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220322002867 CA Practitioner - Physical Therapist in Private Practice 3577992585 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Pacific Physical Therapy IncGroup PAC ID 8729367412, 6 clinicians

Practice addresses (Care Compare)

4940 Van Nuys Blvd
Suite 301
Sherman Oaks, CA 91403-1742
Phone (818) 907-0952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rancho Physical Therapy, Inc. Physical Therapist Current Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Current Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist CurrentSince Mar 15, 2022 Accepting new patients
California Rehab & Sports Therapy CurrentSince May 31, 2022 Accepting new patients
California Rehab and Sports Therapy CurrentSince May 31, 2022 Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist CurrentSince Mar 15, 2022 Accepting new patients
South Pacific Physical Therapy Inc Physical Therapist CurrentSince Nov 1, 2024 Accepting new patients

Locations

12555 Lakewood Blvd
Ste D
Downey, CA 90242
Phone (562) 923-4704

4924 Balboa Blvd
Encino, CA 91316
Phone (805) 479-8706

2888 Long Beach Blvd
Ste 405
Long Beach, CA 90806
Phone (562) 595-4489

910 Via de la Paz
Ste 101
Pacific Plsds, CA 90272
Phone (310) 454-4544

4940 Van Nuys Blvd
Ste 301
Sherman Oaks, CA 91403
Phone (818) 907-0952

19000 Hawthorne Blvd
Ste 300
Torrance, CA 90503
Phone (310) 793-1800

Organizations & group practices 8

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": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1376178459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 WARWICK ST APT 23",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331134",
            "telephone_number": "706-300-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BACK BAY AREA PARK CENTER",
            "address_2": "26396 BAY FARM RD , UNIT #1",
            "city": "MILLSBRO",
            "state": "DE",
            "postal_code": "19966",
            "telephone_number": "302-947-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHKANI",
        "first_name": "ASHKAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0004197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.