Active NPI
Arie Koren, RPT
- Physical Therapist
- North Hollywood, CA
National Provider Identifier
1811917347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT17713
- Practice address
- 6026 Beeman Ave
North Hollywood, CA 91606-4402 - Phone
- (818) 999-2320
- Fax
- (818) 999-2830
- NPI assigned
- Jul 20, 2006
- 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 | PT17713 | CA | Primary |
Addresses
Primary practice location
6026 Beeman Ave
North Hollywood, CA 91606-4402
Mailing address
6026 Beeman Ave
North Hollywood, CA 91606-4402
Phone (818) 999-2320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT17713 | Other | CA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Woodland Hills, CA 91364
Phone (818) 571-5181
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17713 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| PT17713 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Body Physical Therapy & Rehabilitation, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
20058 Ventura Blvd
Woodland Hills, CA 91364
Phone (818) 835-2009
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Woodland Hills, CA
- NPI 1386494797
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811917347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6026 BEEMAN AVE",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916064402",
"telephone_number": "818-999-2320",
"fax_number": "818-999-2830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6026 BEEMAN AVE",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916064402",
"telephone_number": "818-999-2320",
"fax_number": "818-999-2830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOREN",
"first_name": "ARIE",
"name_prefix": "Mr.",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT17713",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PT17713",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Hollywood, 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.
- 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.