Individual provider Active NPI

Annette Tamraz, P.T.

  • Physical Therapist
  • La Canada, CA
National Provider Identifier
1811974215
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 27963 Issued in CA
Practice address
1346 Foothill Blvd
Suite 101
La Canada, CA 91011-2122
Phone
(818) 790-3001
Fax
(818) 790-9732
NPI assigned
Dec 27, 2005
Sex
Female
Sole proprietor
No

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 PT 27963 CA Primary

Addresses

Primary practice location

1346 Foothill Blvd
Suite 101
La Canada, CA 91011-2122

Mailing address

3214 Montrose Ave
La Crescenta, CA 91214-3339
Phone (818) 248-7639

Other identifiers 1

IdentifierTypeStateIssuer
PT 27963OtherCAPHYSICAL THERAPY BOARD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040929001024 CA Practitioner - Physical Therapist in Private Practice 2567431299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Annette Tamraz Physical Therapy IncGroup PAC ID 2769661586, 7 clinicians

Practice addresses (Care Compare)

1000 N Central Ave
Suite 110
Glendale, CA 91202-3685
Phone (818) 243-8422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27963CAMDGeneral Practice Dentistry
PT 27963CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Annette Tamraz Physical Therapy Inc Physical Therapist CurrentSince Oct 1, 2010 Accepting new patients
Royal Rehab Inc Physical Therapist PastSince Jul 1, 2004 Accepting new patients

Locations

1000 N Central Ave
Ste 110
Glendale, CA 91202
Phone (818) 243-8422

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, 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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811974215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 MONTROSE AVE",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912143339",
            "telephone_number": "818-248-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 FOOTHILL BLVD",
            "address_2": "SUITE 101",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910112122",
            "telephone_number": "818-790-3001",
            "fax_number": "818-790-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMRAZ",
        "first_name": "ANNETTE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 27963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY BOARD",
            "identifier": "PT 27963",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Canada, 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.