NPIMap

Organization Active NPI

Iron Point Physical Therapy Inc

  • Physical Therapist
  • Folsom, CA
National Provider Identifier
1497450522
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
IRON POINT PHYSICAL THERAPY INC
Practice address
50 Iron Point Cir Ste 100
Folsom, CA 95630-8594
Phone
(916) 836-1111
Fax
(916) 836-2222
NPI assigned
Mar 30, 2023
Last updated
Sep 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Adrine Khudanyan
Title
Ceo
Phone
(916) 836-9623

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

50 Iron Point Cir Ste 100
Folsom, CA 95630-8594

Mailing address

50 Iron Point Cir Ste 100
Folsom, CA 95630-8594
Phone (916) 836-9623

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231019000536 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0749636231 Receives reassigned benefits from 12 practitioners
Practice locations: Folsom, CA

National Provider Directory

National Provider Directory

Locations

50 Iron Point Cir
Folsom, CA 95630
Phone (702) 608-2622

50 Iron Point Cir
Ste 100
Folsom, CA 95630
Phone (916) 836-1111

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1497450522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 IRON POINT CIR STE 100",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308594",
            "telephone_number": "916-836-9623",
            "fax_number": "916-836-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 IRON POINT CIR STE 100",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308594",
            "telephone_number": "916-836-1111",
            "fax_number": "916-836-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRON POINT PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "KHUDANYAN",
        "authorized_official_first_name": "ADRINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-836-9623"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.