Shana Maghsoodi, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT13590 Issued in CA

Practice address

369 San Miguel Dr
Ste 265
Newport Beach, CA 92660-7818

Phone

(949) 644-2022

Fax

(949) 644-1914

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neck and Back Medical Center IncGroup PAC ID 6002868460, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Neck & Back Medical Center Inc.

  • Physical Therapist
  • Laguna Hills, CA
  • NPI 1407806771
  Medicare reassignment Care Compare group NPD
• Einhorn Mandas & Bradley Rehab Inc

  • Physical Therapist
  • Los Alamitos, CA
  • NPI 1629094420
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1992858542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26072 MERIT CIR",
            "address_2": "STE 119",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537015",
            "telephone_number": "949-859-6600",
            "fax_number": "949-859-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 SAN MIGUEL DR",
            "address_2": "STE 265",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607818",
            "telephone_number": "949-644-2022",
            "fax_number": "949-644-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGHSOODI",
        "first_name": "SHANA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT13590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT13590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ehab Nabil Hanna Mady, D.O.
• Linda Marie Maerov
• Maevelle LLC
• Leela Ravi Magavi, M.D.
• Magdi Messiha MD Inc
• Maher M Saleeb, M.D., Inc
• Mahin G Farzin DDS Inc
• Mahin G Farzin, DDS Inc
• Yonatan Mahller, MD, PHD
• Sharmeen Mahmood

• Physical Therapist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.