Individual provider Active NPI

Orang Amintowlieh, MS

  • Physical Therapist
  • Woodland Hills, CA
National Provider Identifier
1952507246
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28252 Issued in CA
Practice address
4610 Santa Lucia Dr
Woodland Hills, CA 91364-4215
Phone
(818) 462-3704
NPI assigned
Jun 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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 28252 CA Primary

Addresses

Primary practice location

4610 Santa Lucia Dr
Woodland Hills, CA 91364-4215

Mailing address

4610 Santa Lucia Dr
Woodland Hills, CA 91364-4215
Phone (818) 462-3704

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050204000821 CA Practitioner - Physical Therapist in Private Practice 2062463102 Reassigns benefits to 1 organization
Practice locations: Sherman Oaks, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Managed Care Rehab IncGroup PAC ID 4789635822, 3 clinicians

Practice addresses (Care Compare)

18531 Roscoe Blvd
Suite 215a
Northridge, CA 91324-5462
Phone (818) 886-2245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
28252CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Managed Care Rehab., Inc. CurrentSince Feb 8, 2020 Accepting new patients
Nadia Goel Chiropractic, Inc. PastSince Sep 1, 2015 Accepting new patients
Inglewood Physical Therapy Inc. Physical Therapist Past Accepting new patients

Locations

18531 Roscoe Blvd
Ste 215A
Northridge, CA 91324
Phone (818) 886-2245

18531 Roscoe Blvd
Ste 21
Northridge, CA 91324

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1952507246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 SANTA LUCIA DR",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913644215",
            "telephone_number": "818-462-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 SANTA LUCIA DR",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913644215",
            "telephone_number": "818-462-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMINTOWLIEH",
        "first_name": "ORANG",
        "name_prefix": "Mr.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-23",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "28252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.