Naureen Imam

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

298737 Issued in CA

Practice address

760 13TH St
Imperial Beach, CA 91932-2308

Phone

(619) 941-2680

NPI assigned

Nov 3, 2020

Last updated

Nov 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empower NeurorehabGroup PAC ID 5496288771, 8 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empower Neurorehab

  • Rehabilitation Practitioner
  • San Diego, CA
  • NPI 1710602628

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Beth Scalone PT, Inc

  dba North County Water and Sports Therapy Center

  • Physical Therapy Clinic/Center
  • San Diego, CA
  • NPI 1396776704

  Physical Therapist

  Medicare reassignment NPD
• Stac Physical Therapy Pfi, Inc

  dba Personally Fit , Inc

  • Physical Therapist
  • San Diego, CA
  • NPI 1427703354
  Medicare reassignment
• Personally Fit Inc

  • Physical Therapist
  • San Diego, CA
  • NPI 1043390073
  NPD

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1669073169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 13TH ST",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919322308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 13TH ST",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919322308",
            "telephone_number": "619-941-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMAM",
        "first_name": "NAUREEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "298737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.silverstrandpt.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "760 13th St",
            "city": "Imperial Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919322308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dianna Christine Hansen, LMFT, LAADC
• Danielle Brooke Harvey, ASW
• Ruel Hebron
• Alfred Zimbalist Hill, MPSS, SUDCC
• Shannon Jauregui Hyde, MFT
• Imperial Beach Community Clinic (Imperial Beach Health Center)
• Imperial Beach Community Clinic (Imperial Beach Health Center)
• Imperial Beach Fire Department
• Imperial Beach Optometry
• Miriam Levens Iosupovici, MSW

• Physical Therapist in Imperial Beach, CA
• Providers in Imperial Beach, 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 3, 2020; 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.