NIKI MAHMOUDZADEH DPT
NPI 1174241087
Physical Therapist in San Diego, CA
About Niki Mahmoudzadeh Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIKI MAHMOUDZADEH DPT (NPI 1174241087) is an individual physical therapist in San Diego, California and active in the NPI registry since August 2022. She is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
- 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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Niki Mahmoudzadeh Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Niki Mahmoudzadeh reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92108
- Reassigned Medicare billing, California enrollment
- 104 clinicians in this Medicare group
Los Angeles, CA 90034
- Reassigned Medicare billing, California enrollment
- 3 clinicians in this Medicare group
Los Gatos, CA 95032
- Reassigned Medicare billing, California enrollment
- 1,388 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.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92108
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 Niki Mahmoudzadeh's NPI number?
The NPI number for Niki Mahmoudzadeh is 1174241087. It was assigned to this individual provider in the NPPES registry on August 16, 2022.
Where is Niki Mahmoudzadeh located?
Niki Mahmoudzadeh practices at 2650 Camino Del Rio N Ste 200, San Diego, CA 92108. The listed phone number is (619) 295-3000.
What is Niki Mahmoudzadeh's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Niki Mahmoudzadeh enrolled in Medicare?
Yes. Niki Mahmoudzadeh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Niki Mahmoudzadeh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Niki Mahmoudzadeh reassigns Medicare benefits to 3 organizations: Eggleton & Langton Physical Therapy Management Services (San Diego, CA), Dreamcare Physical Therapy Sport And Wellness (Los Angeles, CA) and California Luna Care Physical Therapy PC (Los Gatos, CA). Each 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 Niki Mahmoudzadeh'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 Niki Mahmoudzadeh was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Niki Mahmoudzadeh, DPT · NPI 1174241087
Physical Therapist provider in San Diego, California. Individual provider, active in the CMS NPPES registry since August 16, 2022.
## Identity
- **NPI:** 1174241087 (Entity type: Individual)
- **Enumerated:** August 16, 2022
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2650 CAMINO DEL RIO N STE 200, San Diego, CA 92108-1631
- **Phone:** (619) 295-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Eggleton & Langton Physical Therapy Management Services (NPI 1932659570, San Diego, CA); Dreamcare Physical Therapy Sport And Wellness (NPI 1669153870, Los Angeles, CA); California Luna Care Physical Therapy PC (NPI 1689162166, Los Gatos, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 16, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1174241087) · Data from the CMS NPPES public registry.