Andre Alex Aghekian, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

AT3834 Issued in CA

Practice address

4655 Ruffner St
Ste 207
San Diego, CA 92111-2275

Phone

(800) 877-6787

NPI assigned

May 12, 2011

Last updated

May 12, 2011By the provider in NPPES

Sex

Male

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

State licenses

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1114219813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 646",
            "city": "VERDUGO CITY",
            "state": "CA",
            "postal_code": "910460646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 RUFFNER ST",
            "address_2": "STE 207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112275",
            "telephone_number": "800-877-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGHEKIAN",
        "first_name": "ANDRE",
        "middle_name": "ALEX",
        "name_prefix": "Mr.",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT3834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmel Agdeppa, DACM, L.AC
• Alexander Mark Agelidis
• Jonelle Efthymia Agelopoulos, MS, CF-SLP
• Obiajulu Charles Agha
• Zia Agha, MD
• Azadeh Aghel, MD
• Shadee Aghel, MD
• Roxana Aghili, DO
• Agile Occupational Medicine, PC
• Agile Occupational Medicine, PC

• Physical Therapy Assistant in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.