Individual provider Active NPI

Arie Koren, RPT

  • Physical Therapist
  • North Hollywood, CA
National Provider Identifier
1811917347
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT17713 Issued in CA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PT17713OtherCASTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140925002462 CA Practitioner - Physical Therapist in Private Practice 3870719065 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
17713CAMDAddiction (Substance Use Disorder) Counselor
PT17713CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Body Physical Therapy & Rehabilitation, Inc. Physical Therapist CurrentSince Apr 10, 2024 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.

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.

Verify at the official NPI Registry.