FARDAD KOMAILI (DPT) – Physical Therapist, NPI 1497314553

FARDAD KOMAILI (DPT) is a healthcare provider. based in Norwalk, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 294258 (CA). The NPI Number for FARDAD KOMAILI (DPT) is 1497314553

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
FARDAD KOMAILI (DPT)
NPI
1497314553
Phone
Not provided
Address
15531 BELSHIRE AVE APT 25
Enumeration Date
11 June 2019
Last Update Date
11 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8325702284
Graduation Year
2016 (10 years ago)
PAC ID
1254715550
Group Practice PAC ID
4385173780
Professional Enrollment ID
I20220906002885
Address ID
TX77379XXXXSPXXXXXXXXXX00
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for FARDAD KOMAILI (DPT)

  • 15531 BELSHIRE AVE APT 25

    NORWALK, CA 906506724

    Phone:

    Type: Mailing

  • 466, Flagship Road, Hoag Medical Plaza, Newport Heights, Newport Beach, Orange County, California, 92663, United States

    NEWPORT BEACH, CA 926633635

    Phone: (949) 642-8044

    Type: Location

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: 2022-09-06

PECOS data refreshed: 2026-05-27

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
I20220906002885IPhysical Therapist In Private PracticeTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities18312$0
97116Therapy procedure for walking training, each 15 minutes16211$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes14411$0
View full utilization report →

Insurance plans in this area (ZIP 90650)

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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: 4385173780View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeFL

Reviews

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Frequently asked questions

How do I look up FARDAD KOMAILI (DPT) by NPI?
Use NPI 1497314553 when you need to reference FARDAD KOMAILI (DPT) in forms, claims, or directories.
Does this profile mean FARDAD KOMAILI (DPT) is currently active?
Yes — FARDAD KOMAILI (DPT) appears active in the national provider directory.
Can you summarize FARDAD KOMAILI (DPT)'s specialty in plain language?
Clinically, the directory lists FARDAD KOMAILI (DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is FARDAD KOMAILI (DPT)'s primary listing?
We display Norwalk, California because that is what the record indicates for FARDAD KOMAILI (DPT).
How can I contact FARDAD KOMAILI (DPT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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