Active NPI
Irina Kasabov, PT
- Physical Therapist
- Thousand Oaks, CA
National Provider Identifier
1497993364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 45 Erbes Rd
Thousand Oaks, CA 91362-5802 - Phone
- (805) 495-4657
- Fax
- (818) 881-0258
- NPI assigned
- Jan 30, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
45 Erbes Rd
Thousand Oaks, CA 91362-5802
Mailing address
18411 Collins St Unit B
Tarzana, CA 91356-6515
Phone (818) 571-6095
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT24432 | Other | CA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24432 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Y&E Home Health Inc | Current | Accepting new patients | |
| Shapira & Stein Therapeutic Services, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
500 N Central Ave
Ste 225
Glendale, CA 91203
Phone (818) 945-5172
Organizations & group practices 2
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.
-
- Home Health Agency
- Glendale, CA
- NPI 1538816335
-
- Physical Therapist
- Los Angeles, CA
- NPI 1467503086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329350400000",
"number": "1497993364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18411 COLLINS ST UNIT B",
"city": "TARZANA",
"state": "CA",
"postal_code": "913566515",
"telephone_number": "818-571-6095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 ERBES RD",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913625802",
"telephone_number": "805-495-4657",
"fax_number": "818-881-0258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASABOV",
"first_name": "IRINA",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-30",
"last_updated": "2012-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PT24432",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.