MR. JOHN K OBSENARES P.T.
NPI 1124247077
Physical Therapist in Pasadena, CA

Active since April 25, 2007
1715 N MAR VISTA AVE, PASADENA, CA 91104(626) 791-4535(626) 791-4535 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. John K Obsenares P.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOHN K OBSENARES P.T. (NPI 1124247077) is an individual physical therapist in Pasadena, California, licensed in California (PT24094) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1124247077
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. JOHN K OBSENARESCredential: P.T.
Location Address1715 N MAR VISTA AVEPasadena, CA 91104-1325
Mailing Address1715 N Mar Vista AvePasadena, CA 91104-1325 · (626) 791-4535 · Fax (626) 791-4535
Fax(626) 791-4535
Sole ProprietorNo
Enumeration DateApril 25, 2007
Last NPPES UpdateDecember 22, 2023
✔ NPI 1124247077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in CA · PT24094
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1715 N MAR VISTA AVE, Pasadena, CA 91104

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. John K Obsenares P.t. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show John Obsenares reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
2626 COLORADO BLVD
Los Angeles, CA 90041
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Obsenares's NPI number?

The NPI number for John Obsenares is 1124247077. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Where is John Obsenares located?

John Obsenares practices at 1715 N Mar Vista Ave, Pasadena, CA 91104. The listed phone number is (626) 791-4535.

What is John Obsenares's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is John Obsenares enrolled in Medicare?

Yes. John Obsenares is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Obsenares's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Obsenares reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Obsenares's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Obsenares was last updated on December 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.