Organization Active NPI

Soraya Roudsari Physical Therapy Inc.

  • Orthopedic Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1508492521
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
SORAYA ROUDSARI PHYSICAL THERAPY INC.
Practice address
2583 Lancaster Ave
Los Angeles, CA 90033-1503
Phone
(408) 512-9157
NPI assigned
Mar 21, 2020
Last updated
Mar 25, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
SORAYA ROUDSARI PHYSICAL THERAPY INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Authorized official

Name
Soraya Ahmadi-Nia RoudsariNPI 1194113605
Title
Physical Therapist
Phone
(408) 512-9157

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X NU Primary

Addresses

Primary practice location

2583 Lancaster Ave
Los Angeles, CA 90033-1503

Mailing address

2583 Lancaster Ave
Los Angeles, CA 90033-1503
Phone (408) 512-9157

National Provider Directory

National Provider Directory
Part of
Soraya Roudsari Physical Therapy Inc

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1584748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585094400000",
    "number": "1508492521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2583 LANCASTER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331503",
            "telephone_number": "408-512-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2583 LANCASTER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331503",
            "telephone_number": "408-512-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SORAYA ROUDSARI PHYSICAL THERAPY INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SORAYA ROUDSARI PHYSICAL THERAPY INC.",
        "enumeration_date": "2020-03-21",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A",
        "authorized_official_last_name": "AHMADI-NIA ROUDSARI",
        "authorized_official_first_name": "SORAYA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "408-512-9157"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.