Individual provider Active NPI

Shant Alexander Minassian, PT, DPT, OCS

  • Physical Therapist
  • La Canada Flintridge, CA
National Provider Identifier
1063285179
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT304084 Issued in CA
Practice address
4515 Ocean View Blvd Ste 350
La Canada Flintridge, CA 91011-1409
Phone
(818) 369-7620
NPI assigned
Oct 31, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT304084 CA Primary

Addresses

Primary practice location

4515 Ocean View Blvd Ste 350
La Canada Flintridge, CA 91011-1409

Mailing address

10630 McClemont Ave
Tujunga, CA 91042-1704
Phone (818) 859-2564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231204002993 CA Practitioner - Physical Therapist in Private Practice 4688022403 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aaron McGuinness Physical Therapist IncGroup PAC ID 6507172145, 25 clinicians

Practice addresses (Care Compare)

4515 Ocean View Blvd
Suite 350
La Canada Flintridge, CA 91011-1409
Phone (818) 369-7620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT304084CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapyworks Inc. Physical Therapist CurrentSince Oct 14, 2023 Accepting new patients
Aaron McGuinness Physical Therapist Inc CurrentSince Aug 5, 2024 Accepting new patients

Locations

440 Foothill Blvd
La Canada Flintridge, CA 91011
Phone (818) 369-7620

4515 Ocean View Blvd
Ste 350
La Canada Flt, CA 91011
Phone (818) 369-7620

3000 Dolores St
Los Angeles, CA 90065

719 Santa Monica Blvd
Santa Monica, CA 90401
Phone (310) 260-9039

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1063285179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10630 MCCLEMONT AVE",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910421704",
            "telephone_number": "818-859-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 OCEAN VIEW BLVD STE 350",
            "city": "LA CANADA FLINTRIDGE",
            "state": "CA",
            "postal_code": "910111409",
            "telephone_number": "818-369-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINASSIAN",
        "first_name": "SHANT",
        "middle_name": "ALEXANDER",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-31",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT304084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Canada Flintridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.

Verify at the official NPI Registry.