Ashkan Ashkani
Individual provider Active NPI Physical Therapist · Millsbro, DE
NPI 1376178459 · NPPES record last updated Mar 9, 2020
Key facts
- NPI
- 1376178459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- J1-0004197 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- 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 Inc
Practice addresses (Care Compare)
4940 Van Nuys Blvd
Suite 301
Sherman Oaks, CA 91403-1742
Phone (818) 907-0952
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220322002867 | CA | Practitioner - Physical Therapist in Private Practice | 3577992585 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1-0004197 | DE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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 |
| California Rehab & Sports Therapy | Current |
Accepting new patients | |
| Rancho Physical Therapy, Inc. | Physical Therapist | Current |
Accepting new patients |
| South Pacific Physical Therapy Inc | Physical Therapist | Current |
Accepting new patients |
| Rancho Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| California Rehab and Sports Therapy | Current |
Accepting new patients |
Locations
12555 Lakewood Blvd
Ste D
Downey, CA 90242
Phone (562) 777-1333
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
19000 Hawthorne Blvd
Ste 300
Torrance, CA 90503
Phone (310) 793-1800
4940 Van Nuys Blvd
Ste 301
Van Nuys, CA 91403
Phone (818) 907-0952
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J1-0004197 | DE | Yes |
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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.