MS. MAHSA MODARRES SABZEVARI (NPI# 1689784944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689784944 |
| Entity Type | Individual |
| Full Name | MS. MAHSA MODARRES SABZEVARI |
| Credential | MSPT |
| Practice Address |
801 Ygnacio Valley Rd Suite 200 Walnut Creek CA 94596-3871 |
| Mailing Address |
4188 Park Blvd Apt 4 Oakland CA 94602-1255 |
| Practice Telephone | 9259456778 |
| Practice Fax Number | 9259450389 |
| Mailing Telephone | 3125150495 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT33670 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT33670 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 225100000X | Physical Therapist | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
801 YGNACIO VALLEY RD SUITE 200 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94596-3871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700831922 | Peter Hamlin Rowe | Hospitalist | 801 Ygnacio Valley Rd, Suite 250, Walnut Creek, CA 94596-3871 | 2006-05-24 |
| 1003012931 | Niceto Lopez | Hospitalist | 801 Ygnacio Valley Rd, Suite 250, Walnut Creek, CA 94596-3871 | 2007-06-26 |
| 1407974249 | Douglas Boakye | Hospitalist | 801 Ygnacio Valley Rd, Suite 250, Walnut Creek, CA 94596-3871 | 2007-03-27 |
| 1255459756 | Kurukulasooriya Fernando | Hospitalist | 801 Ygnacio Valley Rd, Suite 250, Walnut Creek, CA 94596-3871 | 2007-03-26 |
| 1538104245 | Optimal Performance Physical Therapy | Physical Therapist | 801 Ygnacio Valley Rd, Ste. 200, Walnut Creek, CA 94596-3871 | 2006-06-17 |
| 1881638948 | Gayle L Anderson | Physical Therapist | 801 Ygnacio Valley Rd, Ste. 200, Walnut Creek, CA 94596-3871 | 2006-06-16 |
| 1821037367 | Charlene B. Spencer | Hospitalist | 801 Ygnacio Valley Rd, Suite 250, Walnut Creek, CA 94596-3871 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917229 | Alison M Khaddour | Behavior Technician | 800 S Broadway Ste. 310, Walnut Creek, CA 94596 | 2019-02-06 |
| 1134683618 | Ian Colas | Respiratory Therapist, Certified | 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 | 2019-01-29 |
| 1912474131 | Albert Dizon Miraflores | Behavior Technician | 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 | 2018-10-25 |
| 1487136834 | Daryn Stier | Social Worker | 80 Norlyn Drive, Walnut Creek, CA 94596 | 2018-09-02 |
| 1831682335 | Jessica Lim | Registered Nurse | 1357 Oakland Blvd, Walnut Creek, CA 94596 | 2018-06-08 |
| 1699278432 | Alanna Everhart | Behavior Technician | 877 Ygnacio Valley Road, Suite 100, Walnut Creek, CA 94596 | 2018-03-16 |
| 1962958108 | Derek Jue Md | Clinic/Center | 1812 San Miguel Drive, Walnut Creek, CA 94596 | 2016-08-28 |
| 1912369711 | Pamela Jean Lister | Marriage & Family Therapist | 2070 N Broadway, #5370, Walnut Creek, CA 94596 | 2016-03-22 |
| 1548635147 | Anne Lamoreaux Anderson | Behavioral Analyst | 800 South Broadway Suite #310, Walnut Creek, CA 94596 | 2015-12-08 |
| 1346619434 | Christine Anne Gotelli | Registered Nurse | 370 N. Civic Drive #311, San Francico, CA 94596 | 2015-09-18 |
| Find all providers in zip 94596 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745233 | Tejal Shah Chokshi | Physical Therapist | 7425 La Mantanza, San Diego, CA 92127-3636 | 2020-09-16 |
| 1487277992 | Katherine Anne Zweier | Physical Therapist | 4646 Van Dyke Ave, San Diego, CA 92116-4842 | 2020-05-19 |
| 1184246621 | Achieving Milestones Pediatric Therapy, Inc | Physical Therapist | 221 E Glenoaks Blvd # 225a, Glendale, CA 91207-2085 | 2020-05-07 |
| 1568094761 | Amanda Montoya | Physical Therapist | 58 Calle Escalon, Camarillo, CA 93010 | 2020-02-06 |
| 1215585690 | Maggie Christine Ridenhour | Physical Therapist | 1541 Old Bayshore Hwy, Burlingame, CA 94010-1602 | 2019-08-29 |
| 1477100162 | Fasia Ramirez | Physical Therapist | 35510 Schuber Ln, Temecula, CA 92592-8125 | 2019-08-19 |
| 1689229841 | Jaclyn Rymer | Physical Therapist | 1000 S Fremont Ave Bldg 10n10220, Alhambra, CA 91803 | 2019-08-05 |
| 1649836669 | Karin Stohn | Physical Therapist | 100 Mcgivern Way, Santa Cruz, CA 95060-9300 | 2019-05-15 |
| 1376108597 | Karen Dzierski Cruise | Physical Therapist | 10860 Topanga Canyon Blvd, Chatsworth, CA 91311-1350 | 2019-05-02 |
| 1326511064 | Lissett Rojas | Physical Therapist | 855 N Lark Ellen Ave Ste L, West Covina, CA 91791-1099 | 2019-01-04 |
| Find all providers with the same taxonomy | ||||
| City | WALNUT CREEK |
| Zip Code | 94596 |
Please comment or provide details below to improve the information on MS. MAHSA MODARRES SABZEVARI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.