Bozorgmehr Baradar Heristchian, DPT
NPI 1609475706ActiveIndividual· Physical Therapist· Beverly Hills, CA
Physical Therapist (DPT) with Evolution Physical Therapy Inc, practicing in Beverly Hills, California. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1609475706 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Oct 20, 2020 |
| Last updated in NPPES | Oct 20, 2020 |
| Certified by provider | Oct 20, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 299164 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CA) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Evolution Physical Therapy IncCulver City, CA · 75 clinicians
Other Physical Therapist providers in Beverly Hills
- 1750484317
- 1972718286
- 1497517569
- 1093090409
- 1841608593
- 1972660579
- 1083885834
- 1144375437
- 1689119232
- 1285160788
- 1437141025
- 1245418748