Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bozorgmehr Baradar Heristchian, DPT

Individual provider Physical Therapist · NPI 1609475706

Bozorgmehr Baradar Heristchian, DPT is a Physical Therapist in Private Practice in Beverly Hills, California. Qualified in 2020, 6 years ago. Practices with Evolution Physical Therapy Inc, a 72-clinician group. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

201 N Robertson Blvd
Beverly Hills, CA 90211-1729
Phone: (404) 303-7647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 299164 (CA)

Record details

NPI number1609475706
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 20, 2020
Last updated in NPPESOctober 20, 2020
Certification dateOctober 20, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Evolution Physical Therapy Inc — 72 clinicians
Accepts Medicare assignment Not indicated

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