Individual provider Active NPI

Mark Haffar, PT, DPT

  • Physical Therapist
  • Brea, CA
National Provider Identifier
1982800348
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
33737 Issued in CA
Practice address
1800 E Lambert Rd
Suite 220
Brea, CA 92821-4370
Phone
(714) 256-5074
Fax
(714) 256-0770
NPI assigned
Jun 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

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 33737 CA Primary

Addresses

Primary practice location

1800 E Lambert Rd
Suite 220
Brea, CA 92821-4370

Mailing address

1800 E Lambert Rd
Suite 220
Brea, CA 92821-4370
Phone (714) 256-5074

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121105000155 CA Practitioner - Physical Therapist in Private Practice 6709037559 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifetime Physical Therapy and Fitness IncGroup PAC ID 8224186184, 4 clinicians
Coury and Buehler Physical Therapy Inc.Group PAC ID 8224924261, 23 clinicians

Practice addresses (Care Compare)

5072 Stone Canyon Ave
Yorba Linda, CA 92886-4313
Phone (714) 337-4511

755 N Shepard St
Anaheim, CA 92806-2836
Phone (714) 630-6252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33737CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coury & Buehler Physical Therapy - Irvine, Inc. Physical Therapist CurrentSince Oct 1, 2012 Accepting new patients
Coury & Buehler Physical Therapy - Lake Forest, Inc. Physical Therapist CurrentSince Apr 1, 2016 Accepting new patients
Coury & Buehler Physical Therapy - Irvine, Inc. Physical Therapist CurrentSince Oct 1, 2012 Accepting new patients
Coury & Buehler Physical Therapy, Inc. Physical Therapist CurrentSince Apr 1, 2016 Accepting new patients
Coury & Buehler Physical Therapy, Inc. Physical Therapist CurrentSince Apr 1, 2016 Accepting new patients
Coury & Buehler Physical Therapy - Tustin/Santa Ana, Inc. Physical Therapist CurrentSince Aug 14, 2019 Accepting new patients

Locations

755 N Shepard St
Anaheim, CA 92806
Phone (714) 630-6252

1800 E Lambert Rd
Ste 220
Brea, CA 92821
Phone (714) 256-5074

3230 E Imperial Hwy
Ste 100
Brea, CA 92821
Phone (714) 256-5074

32 Discovery
Ste 100
Irvine, CA 92618
Phone (949) 271-0010

250 E Yale Loop
Ste 201
Irvine, CA 92604
Phone (949) 265-2442

24301 Muirlands Blvd
Ste T
Lake Forest, CA 92630
Phone (949) 271-0012

239 E Katella Ave
Orange, CA 92867
Phone (714) 538-0025

13931 Carroll Way
Ste B
Tustin, CA 92780
Phone (714) 988-8120

Organizations & group practices 8

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": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355443200000",
    "number": "1982800348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E LAMBERT RD",
            "address_2": "SUITE 220",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214370",
            "telephone_number": "714-256-5074",
            "fax_number": "714-256-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E LAMBERT RD",
            "address_2": "SUITE 220",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214370",
            "telephone_number": "714-256-5074",
            "fax_number": "714-256-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFFAR",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-22",
        "last_updated": "2012-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; 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.