Individual provider Active NPI

Ardavan Makaremi, PT, DPT

  • Physical Therapist
  • Montebello, CA
National Provider Identifier
1497411573
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
301201 Issued in CA
Practice address
433 N 4TH St Ste 208
Montebello, CA 90640-4309
Phone
(323) 246-4616
Fax
(213) 724-0277
NPI assigned
Nov 12, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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 301201 CA Primary

Addresses

Primary practice location

433 N 4TH St Ste 208
Montebello, CA 90640-4309

Mailing address

433 N 4TH St Ste 208
Montebello, CA 90640-4309
Phone (323) 246-4616

Other practice location 1

16250 Ventura Blvd Ste 210
Encino, CA 91436-2279
Phone (818) 427-9776

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211217000859 CA Practitioner - Physical Therapist in Private Practice 8224429782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16250 Ventura Blvd
Suite 225
Encino, CA 91436-2283
Phone (818) 427-9776

433 N 4TH St
Suite 208
Montebello, CA 90640-4309
Phone (818) 799-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy 1St Rehabilitation Wellness a Professional Corpor Physical Therapist CurrentSince Dec 24, 2021 Accepting new patients

Locations

16250 Ventura Blvd
Ste 210
Encino, CA 91436
Phone (818) 427-9776

16250 Ventura Blvd
Ste 225
Encino, CA 91436
Phone (818) 382-6400

1934 W Beverly Blvd
Montebello, CA 90640
Phone (323) 558-7470

433 N 4th St
Ste 208
Montebello, CA 90640
Phone (323) 201-4130

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1497411573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 N 4TH ST STE 208",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404309",
            "telephone_number": "323-246-4616",
            "fax_number": "213-724-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 N 4TH ST STE 208",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404309",
            "telephone_number": "323-246-4616",
            "fax_number": "213-724-0277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16250 Ventura Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914362279",
            "country_code": "US",
            "telephone_number": "818-427-9776",
            "fax_number": "888-388-1013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAKAREMI",
        "first_name": "ARDAVAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.