Organization Active NPI

Rancho Mirage Outpatient Physical Therapy Inc

  • Physical Therapist
  • Rancho Mirage, CA
National Provider Identifier
1023954971
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RANCHO MIRAGE OUTPATIENT PHYSICAL THERAPY INC
Practice address
35280 Bob Hope Dr Ste 103
Rancho Mirage, CA 92270-1753
Phone
(440) 444-8888
NPI assigned
Apr 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Avetik Hovhannisyan
Title
Ceo/Owner
Phone
(440) 444-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

35280 Bob Hope Dr Ste 103
Rancho Mirage, CA 92270-1753

Mailing address

35280 Bob Hope Dr Ste 103
Rancho Mirage, CA 92270-1753
Phone (440) 444-8888

National Provider Directory

National Provider Directory

Locations

35280 Bob Hope Dr
Ste 103
Rancho Mirage, CA 92270
Phone (440) 444-8888

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1776988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1023954971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35280 BOB HOPE DR STE 103",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701753",
            "telephone_number": "440-444-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35280 BOB HOPE DR STE 103",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701753",
            "telephone_number": "440-444-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO MIRAGE OUTPATIENT PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-24",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "HOVHANNISYAN",
        "authorized_official_first_name": "AVETIK",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "440-444-8888"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.