Active NPI
Peter Masih Aziz, R.P.T.
- Physical Therapist
- Ontario, CA
National Provider Identifier
1760601793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15402
- Practice address
- 3550 E Philadelphia St
Ontario, CA 91761-2962 - Phone
- (909) 773-0022
- NPI assigned
- Apr 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 15402 | CA | Primary |
Addresses
Primary practice location
3550 E Philadelphia St
Ontario, CA 91761-2962
Mailing address
25573 State St
Loma Linda, CA 92354-2428
Phone (909) 372-5390
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P.T. 15402 | Other | CA | PROFESSIONAL LICENSE |
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 |
|---|---|---|---|
| 15402 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Global Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
| St. Marypt Corp | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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
- Palm Desert, CA
- NPI 1992021174
-
- Physical Therapy Clinic/Center
- Rancho Mirage, CA
- NPI 1518257120
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760601793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25573 STATE ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923542428",
"telephone_number": "909-372-5390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 E PHILADELPHIA ST",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917612962",
"telephone_number": "909-773-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AZIZ",
"first_name": "PETER",
"middle_name": "MASIH",
"name_prefix": "Mr.",
"credential": "R.P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "15402",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE",
"identifier": "P.T. 15402",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ontario, 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.