BITA SHAHIDI (D.P.T.) – Physical Therapist, NPI 1629095286

BITA SHAHIDI (D.P.T.) is a healthcare provider. based in Redondo beach, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials D.P.T.. They hold a License No. 29051 (CA). The NPI Number for BITA SHAHIDI (D.P.T.) is 1629095286

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
BITA SHAHIDI (D.P.T.)
NPI
1629095286
Phone
(424) 400-5858
Address
2607 MANHATTAN BEACH BLVD
Enumeration Date
17 July 2006
Last Update Date
9 April 2012

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4708665540
Graduation Year
2003 (23 years ago)
PAC ID
6800990896
Group Practice PAC ID
4284063835
Professional Enrollment ID
I20150218001514
Address ID
GA300414004CU5610XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for BITA SHAHIDI (D.P.T.)

  • 2607, Manhattan Beach Boulevard, Redondo Beach, Los Angeles County, California, 90278, United States

    REDONDO BEACH, CA 902781604

    Phone: (424) 400-5858

    Fax: (310) 536-0061

    Type: Location

  • 211, Yacht Club Way, Redondo Beach, Los Angeles County, California, 90277, United States

    #108

    REDONDO BEACH, CA 902772057

    Phone: (424) 400-5858

    Fax: (310) 536-0061

    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: 2015-02-18

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
I20150218001514IPhysical Therapist In Private PracticeGATBD

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 90278)

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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: 4284063835View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeGA
-GA
Qualified Speech Language PathologistGA
Occupational Therapist In Private PracticeGA
-GA
Qualified Speech Language PathologistGA
Occupational Therapist In Private PracticeAL
Occupational Therapist In Private PracticeGA
Qualified Speech Language PathologistMD
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

Can I use this page to confirm BITA SHAHIDI (D.P.T.)'s NPI?
Yes. BITA SHAHIDI (D.P.T.) is listed with NPI 1629095286 in the public NPI dataset.
Is BITA SHAHIDI (D.P.T.) still practicing?
BITA SHAHIDI (D.P.T.) is currently listed as active in the public NPI registry.
What is BITA SHAHIDI (D.P.T.)'s primary classification?
Physical Therapist is the headline specialty for BITA SHAHIDI (D.P.T.) here. Clinical services aligned with this taxonomy classification.
Where should I expect BITA SHAHIDI (D.P.T.) on a map?
Expect Redondo Beach, California as a primary anchor for BITA SHAHIDI (D.P.T.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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