Individual provider Active NPI

Tatiana Ratavosian, PT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1134937139
Registry record updated Dec 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
301898 Issued in CA
Practice address
6420 Wilshire Blvd Ste 600
Los Angeles, CA 90048-5521
Phone
(877) 757-8353
NPI assigned
Dec 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X OR242722 CA
Physical Therapist 225100000X 301898 CA Primary

Addresses

Primary practice location

6420 Wilshire Blvd Ste 600
Los Angeles, CA 90048-5521

Mailing address

10010 Tujunga Canyon Blvd Apt D
Tujunga, CA 91042-2890
Phone (818) 530-8334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
301898CAMDPhysical Therapist
OR242722CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
All Care Physical Therapy, P.C. Physical Therapist CurrentSince Feb 16, 2025 Accepting new patients
Seersoft Physical Therapist PastSince Feb 16, 2025 Accepting new patients

Locations

6420 Wilshire Blvd
Ste 600
Los Angeles, CA 90048
Phone 81889422731025

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": "1734739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734739200000",
    "number": "1134937139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10010 TUJUNGA CANYON BLVD APT D",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910422890",
            "telephone_number": "818-530-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 WILSHIRE BLVD STE 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485521",
            "telephone_number": "877-757-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATAVOSIAN",
        "first_name": "TATIANA",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-21",
        "last_updated": "2024-12-21",
        "certification_date": "2024-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "OR242722",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2024; 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.