Individual provider Active NPI

Sabir Greenwell

  • Orthopedic Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1811667728
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
300658 Issued in CA
Practice address
11900 W Olympic Blvd Ste 101
Los Angeles, CA 90064-1166
Phone
(310) 770-7586
Fax
(310) 826-4517
NPI assigned
Sep 14, 2021
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 300658 CA Primary

Addresses

Primary practice location

11900 W Olympic Blvd Ste 101
Los Angeles, CA 90064-1166

Mailing address

11943 Kiowa Ave Apt 2
Los Angeles, CA 90049-5913
Phone (619) 852-7037

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211117003049 CA Practitioner - Physical Therapist in Private Practice 2264821909 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Positive Physical Therapy and Fitness IncGroup PAC ID 7315170644, 6 clinicians

Practice addresses (Care Compare)

12207 Santa Monica Blvd
Los Angeles, CA 90025-2517
Phone (310) 770-7586

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
300658CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Physical Therapy and Fitness Inc CurrentSince Jun 30, 2022 Accepting new patients
Rehab Specialists, Inc Orthopedic CurrentSince Sep 17, 2021 Accepting new patients
Adi Rehab, Incorporated Orthopedic PastSince Nov 24, 2019 Accepting new patients

Locations

415 N Crescent Dr
Ste 130
Beverly Hills, CA 90210
Phone (310) 273-0677

11900 W Olympic Blvd
Ste 101
Los Angeles, CA 90064
Phone (310) 770-7586

12207 Santa Monica Blvd
Los Angeles, CA 90025
Phone (310) 770-7586

2730 Wilshire Blvd
Ste 533
Santa Monica, CA 90403
Phone (310) 273-0870

10635 Santa Monica Blvd
Ste 165
West Los Angeles, CA 90025
Phone 3102730877143

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1811667728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11943 KIOWA AVE APT 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495913",
            "telephone_number": "619-852-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 W OLYMPIC BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641166",
            "telephone_number": "310-770-7586",
            "fax_number": "310-826-4517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWELL",
        "first_name": "SABIR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-14",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "300658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.