Active NPI
Farzaneh A Roshan, P.T.
- Physical Therapist
- Colton, CA
National Provider Identifier
1730255779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT9580
- Practice address
- 1230 E Washington St
Suite 2
Colton, CA 92324-6450 - Phone
- (909) 825-6716
- Fax
- (909) 825-4339
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT9580 | Primary |
Addresses
Primary practice location
1230 E Washington St
Suite 2
Colton, CA 92324-6450
Mailing address
8540 Archibald Ave
Suite D
Rancho Cucamonga, CA 91730-4662
Phone (909) 987-4242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9580 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Therapy Network Incorporated | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Riverside, CA
- NPI 1629693619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730255779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8540 ARCHIBALD AVE",
"address_2": "SUITE D",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917304662",
"telephone_number": "909-987-4242",
"fax_number": "909-987-4277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 E WASHINGTON ST",
"address_2": "SUITE 2",
"city": "COLTON",
"state": "CA",
"postal_code": "923246450",
"telephone_number": "909-825-6716",
"fax_number": "909-825-4339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSHAN",
"first_name": "FARZANEH",
"middle_name": "A",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": "PT9580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.