Kaveh Shokoohi Soodjani, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 10565 Issued in CA

Practice address

19136 Merion Dr
Northridge, CA 91326-1835

Phone

(818) 567-2320

NPI assigned

Dec 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Managed Care Rehab IncGroup PAC ID 4789635822, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Managed Care Rehab., Inc.

  • Specialist
  • Northridge, CA
  • NPI 1881749323
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1508929043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19136 MERION DR",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913261835",
            "telephone_number": "818-567-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19136 MERION DR",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913261835",
            "telephone_number": "818-567-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOKOOHI SOODJANI",
        "first_name": "KAVEH",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 10565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria V Shibata
• Shifting Seasons Therapy Corporation
• Tina Shimabukuro
• Sujin Jessica Shin
• Abul H Shirazi, M.D.
• Allan Abraham Shook, M.D.
• Diana K Shore
• Philip S Shore, MD
• Cherie A Short, PA
• Vivian Shoukrun, MD

• Physical Therapist in Northridge, CA
• Providers in Northridge, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.