Individual provider Active NPI

Bita Shahidi, D.P.T.

  • Physical Therapist
  • Redondo Beach, CA
National Provider Identifier
1629095286
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29051 Issued in CA
Practice address
2607 Manhattan Beach Blvd
Redondo Beach, CA 90278-1604
Phone
(424) 400-5858
Fax
(310) 536-0061
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 29051 CA Primary

Addresses

Primary practice location

2607 Manhattan Beach Blvd
Redondo Beach, CA 90278-1604

Mailing address

211 Yacht Club Way
#108
Redondo Beach, CA 90277-2057
Phone (424) 400-5858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150218001514 GA Practitioner - Physical Therapist in Private Practice 6800990896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Loma Linda University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1335 Stranssner Dr
Brentwood, MO 63144-1872

3372 Marathon Circle
Suite 100
Austell, GA 30106-6821

3672 Marathon Cir
Suite 100
Austell, GA 30106-6821

8259 Wicker Ave
Saint John, IN 46373-8878

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
85.59
Improvement activities
40
Cost
69.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Physical Therapy, LLC CurrentSince Oct 31, 2022 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Oct 31, 2022 Accepting new patients
Empowerme Rehabilitation Georgia, LLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Georgia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Oct 19, 2022 Accepting new patients
Emory Physical Therapy, LLC Current Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients

Locations

21 Ortho Ln
Atlanta, GA 30329
Phone (404) 778-2516

260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870

5610 Hampton Park Dr
Cumming, GA 30041
Phone (470) 866-5540

1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333929600000",
    "number": "1629095286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 YACHT CLUB WAY",
            "address_2": "#108",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772057",
            "telephone_number": "424-400-5858",
            "fax_number": "310-536-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 MANHATTAN BEACH BLVD",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902781604",
            "telephone_number": "424-400-5858",
            "fax_number": "310-536-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHIDI",
        "first_name": "BITA",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2012-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "29051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.