ABTIN ANVARI (PT, DPT) – Sports Physical Therapist, NPI 1063084093

ABTIN ANVARI (PT, DPT) is a healthcare provider. based in Menifee, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT300341 (CA). The NPI Number for ABTIN ANVARI (PT, DPT) is 1063084093

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
ABTIN ANVARI (PT, DPT)
NPI
1063084093
Phone
(951) 696-9353
Address
30428 HAUN RD STE 810
Enumeration Date
9 July 2021
Last Update Date
20 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9513043402
Graduation Year
2021 (5 years ago)
PAC ID
7517358393
Group Practice PAC ID
2365346491
Professional Enrollment ID
I20231027000036
Address ID
CA928791770CO1280XCTXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

9,522 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for ABTIN ANVARI (PT, DPT)

  • 30428 HAUN RD STE 810

    MENIFEE, CA 925846824

    Phone: (951) 696-9353

    Type: Mailing

  • 1280 CORONA POINTE CT STE 118

    CORONA, CA 928791770

    Phone: (951) 340-3402

    Fax: (951) 340-3416

    Type: Location

  • 7146 EDINGER AVE

    HUNTINGTON BEACH, CA 926473568

    Phone: (714) 377-4314

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-27

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231027000036IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92584)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365346491View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
-CA
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
-CA
-CA

Reviews

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Frequently asked questions

How is ABTIN ANVARI (PT, DPT) identified in CMS data?
CMS-hosted NPPES data lists ABTIN ANVARI (PT, DPT) with NPI 1063084093.
Does CMS list ABTIN ANVARI (PT, DPT) as active?
Yes — ABTIN ANVARI (PT, DPT) is active in the NPI listing used on this page.
What is ABTIN ANVARI (PT, DPT) best known for clinically?
Directory data describes ABTIN ANVARI (PT, DPT) with Sports Physical Therapist. Clinical services aligned with this taxonomy classification.
What area does ABTIN ANVARI (PT, DPT) serve?
ABTIN ANVARI (PT, DPT)'s listing highlights Menifee, California; more addresses can appear in NPPES.
Why does ABTIN ANVARI (PT, DPT) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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