IndividualActive
Abtin Anvari, PT, DPT
NPI 1063084093 · Sports Physical Therapist · Corona, CA
Provider details
- NPI number
- 1063084093
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- PT300341 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1280 Corona Pointe Ct Ste 118
Corona, CA 92879-1770
Phone: (951) 340-3402
Fax: (951) 340-3416
Approximate (ZIP-level) locationGet directions
Mailing address
30428 Haun Rd Ste 810
Menifee, CA 92584-6824
Registry dates
- Enumerated
- 2021-07-09
- Last updated
- 2026-01-20
- Certified
- 2026-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.