Ahzer Galvan Reotutar, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

307186 Issued in CA

Practice address

17866 Sierra Hwy
Santa Clarita, CA 91351-1637

Phone

(661) 475-6593

NPI assigned

Nov 11, 2024

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1578387148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17866 SIERRA HWY",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913511637",
            "telephone_number": "661-475-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17866 SIERRA HWY",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913511637",
            "telephone_number": "661-475-6593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23206 Lyons Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Santa Clarita",
            "state": "CA",
            "postal_code": "913212671",
            "country_code": "US",
            "telephone_number": "661-219-7369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REOTUTAR",
        "first_name": "AHZER",
        "middle_name": "GALVAN",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "307186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Santa Clarita, CA
• Providers in Santa Clarita, 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 11, 2024; 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.