IGNITE PHYZIO & SPORTS PERFORMANCE INC
NPI 1306354881
Clinic/Center - Physical Therapy in La Habra, CA

Active since January 18, 2018
811 E LAMBERT RD, LA HABRA, CA 90631(562) 896-0129 Get Directions Write a Review

NPPES record last updated: March 9, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 9, 2020, Jan 18, 2018 (2 updates tracked since 2018).

About Ignite Phyzio & Sports Performance Inc NPPES

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

IGNITE PHYZIO & SPORTS PERFORMANCE INC (NPI 1306354881) is a healthcare organization registered as a physical therapy in La Habra, California and active in the NPI registry since January 2018. The organization maintains a secondary practice location in Fullerton and lists Ziad Dahdul, Owner, as its authorized official.

NPPES Registry Identity

NPI1306354881
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameIGNITE PHYZIO & SPORTS PERFORMANCE INC
Location Address811 E LAMBERT RDLa Habra, CA 90631-6143
Mailing Address1703 Shady Brook DrFullerton, CA 92831-1850 · (562) 896-0129
Organization SubpartNo
Authorized OfficialZiad DahdulOwner · (562) 896-0129
Enumeration DateJanuary 18, 2018
Last NPPES UpdateMarch 9, 20202 updates tracked since enumeration
NPPES CertifiedMarch 9, 2020
✔ NPI 1306354881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License✔ Licensed in CA · PT37147
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
811 E LAMBERT RD, La Habra, CA 90631

Secondary Practice Location 1

Location 11703 Shady Brook DrFullerton, CA 92831-1850 · Phone (562) 896-0129

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ignite Phyzio & Sports Performance Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Ignite Phyzio & Sports Performance Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (10)

Physical Therapist in Private Practice
NPI 1609533819
19768 YORBA LINDA BLVD
Yorba Linda, CA 92886
(714) 693-0460
✔ Accepts Medicare8.9 mi
Physical Therapist in Private Practice
NPI 1043813439
23655 VIA DEL RIO STE C
Yorba Linda, CA 92887
(714) 695-1566
✔ Accepts Medicare12 mi
Physical Therapist in Private Practice
NPI 1467761395
3294 E SPRING ST
Long Beach, CA 90806
(562) 988-3570
✔ Accepts Medicare15 mi
Physical Therapist in Private Practice
NPI 1043827173
2777 BRISTOL ST STE B
Costa Mesa, CA 92626
(949) 250-1122
✔ Accepts Medicare18 mi
Physical Therapist in Private Practice
NPI 1164946067
201 N ROBERTSON BLVD STE 101
Beverly Hills, CA 90211
(424) 303-7647
27 mi
Physical Therapist in Private Practice
NPI 1386320653
12424 WILSHIRE BLVD
Los Angeles, CA 90025
(310) 826-2977
✔ Accepts Medicare32 mi
Physical Therapist in Private Practice
NPI 1568922953
2010 WILSHIRE BLVD
Santa Monica, CA 90403
(310) 878-2540
32 mi
Physical Therapist in Private Practice
NPI 1184489270
1333 CAMINO DEL RIO S STE 103
San Diego, CA 92108
(619) 501-2195
✔ Accepts Medicare92 mi
Physical Therapist in Private Practice
NPI 1972441806
16185 LOS GATOS BLVD STE 205
Los Gatos, CA 95032
(866) 525-3175
✔ Accepts Medicare322 mi
Physical Therapist in Private Practice
NPI 1386367118
460 SAINT MICHAELS DR STE 501
Santa Fe, NM 87505
(505) 780-8783
✔ Accepts Medicare692 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 Ignite Phyzio & Sports Performance Inc's NPI number?

The NPI number for Ignite Phyzio & Sports Performance Inc is 1306354881. It was assigned to this organization in the NPPES registry on January 18, 2018.

Where is Ignite Phyzio & Sports Performance Inc located?

Ignite Phyzio & Sports Performance Inc is located at 811 E Lambert Rd, La Habra, CA 90631. The listed phone number is (562) 896-0129.

What is Ignite Phyzio & Sports Performance Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Ignite Phyzio & Sports Performance Inc enrolled in Medicare?

Yes. Ignite Phyzio & Sports Performance Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ignite Phyzio & Sports Performance Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Ignite Phyzio & Sports Performance 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ignite Phyzio & Sports Performance Inc was last updated on March 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.