Edit Kathy Keshishyan, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

1018 Elm Ave
Glendale, CA 91201-3424

Phone

(818) 288-3334

NPI assigned

Oct 16, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Achieving Milestones Pediatric Therapy, Inc

  • Pediatric Occupational Therapist
  • Glendale, CA
  • NPI 1184246621
  NPD Authorized official

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1043563984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 ELM AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912013424",
            "telephone_number": "818-288-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 ELM AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912013424",
            "telephone_number": "818-288-3334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6440 Skypointe Dr.",
            "address_2": "#140-398",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89131",
            "country_code": "US",
            "telephone_number": "818-288-3334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KESHISHYAN",
        "first_name": "EDIT",
        "middle_name": "KATHY",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susanna Keshishian, PHARM D
• Taguhi Keshishian
• Keshishyan Dental Corporation
• Andranik Keshishyan, D.C.
• Aykanush Keshishyan, LVN
• Nelly Keshishyan
• Samvel Keshishyan, DPM
• Sarkis Keshishyan, D.D.S.
• Vardush Keshishyan, M.A.
• Heghine Gina Kestenian

• Occupational Therapist in Glendale, CA
• Providers in Glendale, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.