Mahtab Farahani Jalali, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

308524 Issued in CA

Practice address

3324 Alabama Cir
Costa Mesa, CA 92626-2029

Phone

(714) 406-3447

Fax

(714) 333-4699

NPI assigned

Aug 11, 2025

Sex

Unspecified or another gender identity

Sole proprietor

No

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, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orange County Occupational Therapy IncGroup PAC ID 0547650020, 6 clinicians

California Rehabilitation and Sports Therapy a California Physical theGroup PAC ID 6709788896, 182 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• California Rehabilitation & Sports Therapy a California Physical Ther

  • Multi-Specialty Clinic/Center
  • Mission Viejo, CA
  • NPI 1386696409

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Orange County Occupational Therapy Inc

  • Occupational Therapist
  • Costa Mesa, CA
  • NPI 1750044053

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• California Rehab & Sports Therapy

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1508540279
  NPD
• California Rehabilitation & Sports Therapy a California Physical Ther

  • Multi-Specialty Clinic/Center
  • Costa Mesa, CA
  • NPI 1922604313
  NPD

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1548146178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3324 ALABAMA CIR",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262029",
            "telephone_number": "714-406-3447",
            "fax_number": "714-333-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3324 ALABAMA CIR",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262029",
            "telephone_number": "714-406-3447",
            "fax_number": "714-333-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALALI",
        "first_name": "MAHTAB",
        "middle_name": "FARAHANI",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "308524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leticia Maribel Jacobs, M.S
• Sylvia Jacques, RRW
• Harvey Jaffe, M.D.
• Lakshay Jain, MD
• Ali Salman Jalali
• Lindsey Jaleh
• Jam Family Counselng Inc
• Sagar Jambusaria
• Sasha Madison James, LMFT
• Lily Mai Jamison, OTA/L

• Physical Therapist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.