Active NPI
Alexander Moukhtarian
- Physical Therapist
- Glendale, CA
National Provider Identifier
1013593698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 300029
- Practice address
- 1000 N Central Ave Ste 110
Glendale, CA 91202-3685 - Phone
- (818) 243-8422
- Fax
- (818) 243-8444
- NPI assigned
- Mar 23, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 300029 | CA | Primary |
Addresses
Primary practice location
1000 N Central Ave Ste 110
Glendale, CA 91202-3685
Mailing address
1000 N Central Ave Ste 110
Glendale, CA 91202-3685
Phone (818) 243-8422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 N Central Ave
Suite 110
Glendale, CA 91202-3685
Phone (818) 243-8422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 300029 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Annette Tamraz Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
Locations
1000 N Central Ave
Ste 110
Glendale, CA 91202
Phone (818) 243-8422
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Glendale, CA
- NPI 1306140801
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1013593698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N CENTRAL AVE STE 110",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912023685",
"telephone_number": "818-243-8422",
"fax_number": "818-243-8444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N CENTRAL AVE STE 110",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912023685",
"telephone_number": "818-243-8422",
"fax_number": "818-243-8444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUKHTARIAN",
"first_name": "ALEXANDER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-23",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "300029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
- Motion Home Health Care
- Motion Picture and Television Fund Medical Group, Inc
- Motion Picture and Television Fund Medical Group, Inc
- Samira Moughrabi, NP
- Josephine Moukhtar, M.D
- Mount Zion Hospice Care, Inc.
- Mountain Ridge Home Care, Inc.
- Mountain Ridge Hospice Inc.
- Moustafa Hussein Moustafa, M.D.
- Movement System Institute Physiotherapy Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.