Nelson Petrosyan, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT39694 Issued in CA

Practice address

435 Arden Ave Ste 340
Glendale, CA 91203-4017

Phone

(818) 426-5616

NPI assigned

Apr 29, 2024

Last updated

Apr 29, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Alta Hospice of California

  • Community Based Hospice Care Agency
  • San Bernardino, CA
  • NPI 1417579285

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership
• Linden Home Health Care Inc

  • Home Health Agency
  • Los Angeles, CA
  • NPI 1346992161

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Petrosyan Physical Therapy, Apc

  • Physical Therapy Clinic/Center
  • Glendale, CA
  • NPI 1861248700
  Medicare reassignment NPD Authorized official
• Linden Home Health Care Inc

  • Home Health Agency
  • Los Angeles, CA
  • NPI 1346992161
  NPD Authorized official
• Alta Hospice of California

  • Community Based Hospice Care Agency
  • San Bernardino, CA
  • NPI 1417579285
  NPD

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1053167049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 VERDUGO CIRCLE DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912061535",
            "telephone_number": "818-426-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE STE 340",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034017",
            "telephone_number": "818-426-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROSYAN",
        "first_name": "NELSON",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT39694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karapet Petrosyan
• Karine Petrosyan
• Khachik Petrosyan
• Meri Petrosyan, FNP-C
• Milena Petrosyan
• Nicole Monique Petrosyan, CF-SLP
• Ruzanna Petrosyan
• Sona Petrosyan
• Viktoriya Petrosyan, MSW
• Paul Lindsay Pettyjohn, OT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.

Verify at the official NPI Registry.