NPIMap

Organization Active NPI

State College Physical Therapy Inc

Doing business as Anaheim Hills Physical Therapy & Rehabilitation

  • Physical Therapist
  • Anaheim, CA
National Provider Identifier
1689782310
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT9743 Issued in CA
Legal business name
STATE COLLEGE PHYSICAL THERAPY INC
Doing business as
Anaheim Hills Physical Therapy & Rehabilitation
Practice address
500 S Anaheim Hills Rd
Suite 106
Anaheim, CA 92807-4780
Phone
(714) 685-0700
Fax
(714) 685-9916
NPI assigned
Aug 25, 2006
Last updated
Apr 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Authorized official

Name
Mrs. Parivash F Oreizy, PHYSICAL THERAPISTNPI 1043231277
Title
President
Phone
(714) 999-6596

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT9743 CA Primary

Addresses

Primary practice location

500 S Anaheim Hills Rd
Suite 106
Anaheim, CA 92807-4780

Mailing address

500 S Anaheim Hills Rd
Suite 106
Anaheim, CA 92807-4780
Phone (714) 685-0700

Other names 1

  • Anaheim Hills Physical Therapy & Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040812000641 CA Part B Supplier - Clinic/Group Practice 2769454388 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
Practice locations: Anaheim, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Anaheim Hills Physical Therapy Rehabilitation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

215 N State College Blvd
Ste G
Anaheim, CA 92806
Phone (714) 685-0700

500 S Anaheim Hills Rd
Ste 106
Anaheim, CA 92807
Phone (714) 685-0700

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1689782310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S ANAHEIM HILLS RD",
            "address_2": "SUITE 106",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074780",
            "telephone_number": "714-685-0700",
            "fax_number": "714-685-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S ANAHEIM HILLS RD",
            "address_2": "SUITE 106",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928074780",
            "telephone_number": "714-685-0700",
            "fax_number": "714-685-9916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE COLLEGE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "OREIZY",
        "authorized_official_first_name": "PARIVASH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-999-6596",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT9743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anaheim Hills Physical Therapy & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.