Stepan Mkrtchyan, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

301432 Issued in CA

Practice address

4795 Vineland Ave Ste E
North Hollywood, CA 91602-3546

Phone

(818) 639-3402

Fax

(818) 639-3425

NPI assigned

Jan 25, 2022

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nova Physical Therapy Prof. Corp.Group PAC ID 2062881972, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Nova Physical Therapy Prof. Corp.

  • Physical Therapist
  • North Hollywood, CA
  • NPI 1679299903
  Medicare reassignment Care Compare group NPD Authorized official
• Vargo Physical Therapy, Inc

  • Physical Therapist
  • Burbank, CA
  • NPI 1104316827
  NPD (past)
• Vargo Physical Therapy, Inc.

  • Physical Therapist
  • Northridge, CA
  • NPI 1386768539
  NPD (past)

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1093467607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4795 VINELAND AVE STE E",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916023546",
            "telephone_number": "818-639-3402",
            "fax_number": "818-639-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4795 VINELAND AVE STE E",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916023546",
            "telephone_number": "818-639-3402",
            "fax_number": "818-639-3425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4955 Van Nuys Blvd",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914031801",
            "country_code": "US",
            "telephone_number": "818-990-9535",
            "fax_number": "818-990-9546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MKRTCHYAN",
        "first_name": "STEPAN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-25",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mirage Hospice Care Inc
• Emily Miranda
• Deborah Shana Missaghi, MS, LMFT
• Maha Missoumi, PHARMD
• Arutyun Mkrtchyan, DDS
• MMK Medical Products Inc.
• Mobile Medical Clinic
• Mobile Wound Solutions Inc
• Afsar Moghadam
• Mastaneh G. Moghadam, LCSW

• Physical Therapist in North Hollywood, CA
• Providers in North Hollywood, 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 17, 2024; 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.