IVY MEDICAL ASSOCIATES INC
NPI 1306116041
Physical Medicine & Rehabilitation in Pasadena, CA

Active since January 11, 2012
2309 PALOMA ST, PASADENA, CA 91104(626) 808-5352 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ivy Medical Associates Inc NPPES

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

IVY MEDICAL ASSOCIATES INC (NPI 1306116041) is a healthcare organization registered as a physical medicine & rehabilitation in Pasadena, California and active in the NPI registry since January 2012. The organization lists Charise L Ivy, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1306116041
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NameIVY MEDICAL ASSOCIATES INC
Location Address2309 PALOMA STPasadena, CA 91104-4926
Mailing Address2309 Paloma StPasadena, CA 91104-4926 · (626) 808-5352
Organization SubpartNo
Authorized OfficialCharise L IvyCeo/president · (626) 808-5352
Enumeration DateJanuary 11, 2012
Last NPPES UpdateMarch 7, 2023
✔ NPI 1306116041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License✔ Licensed in CA · A86275
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
2309 PALOMA ST, Pasadena, CA 91104

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivy Medical Associates Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120426000149Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ivy Medical Associates Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Medicine and Rehabilitation
NPI 1871668293
1500 E CHEVY CHASE DR STE 401 GLENDALE ADVENTIST MEDICAL CENTER SPINE INSTITUTE
Glendale, CA 91206
(818) 863-4451
✔ PECOS✔ Accepts Medicare7.4 mi

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 Ivy Medical Associates Inc's NPI number?

The NPI number for Ivy Medical Associates Inc is 1306116041. It was assigned to this organization in the NPPES registry on January 11, 2012.

Where is Ivy Medical Associates Inc located?

Ivy Medical Associates Inc is located at 2309 Paloma St, Pasadena, CA 91104. The listed phone number is (626) 808-5352.

What is Ivy Medical Associates Inc's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Ivy Medical Associates Inc enrolled in Medicare?

Yes. Ivy Medical Associates Inc is registered in the Medicare PECOS enrollment system.

When is Ivy Medical Associates Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Ivy Medical Associates Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Ivy Medical Associates Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ivy Medical Associates Inc was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.