Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Soraya Ahmadi-Nia Roudsari

Individual provider Physical Therapist · NPI 1194113605

Soraya Ahmadi-Nia Roudsari is a Physical Therapist in Private Practice in Los Angeles, California. Qualified in 2014, 12 years ago. Practices with Select Cs Physical Therapy PC, a 174-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2015
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Practice location Address checks out

2583 Lancaster Ave
Los Angeles, CA 90033-1503
Phone: (408) 512-9157
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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 PT 41682 (CA)

Record details

NPI number1194113605
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 6, 2015
Last updated in NPPESMarch 21, 2020
Certification dateMarch 21, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Select Cs Physical Therapy Pc — 174 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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