Individual provider Active NPI

Allen Minassian, PT, DPT

  • Physical Therapist
  • La Canada Flintridge, CA
National Provider Identifier
1235317587
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34070 Issued in CA
Practice address
1434 Foothill Blvd
Suite D
La Canada Flintridge, CA 91011-2107
Phone
(818) 864-6479
Fax
(818) 864-6429
NPI assigned
Feb 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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 PT34070 CA Primary

Addresses

Primary practice location

1434 Foothill Blvd
Suite D
La Canada Flintridge, CA 91011-2107

Mailing address

1434 Foothill Blvd
Suite D
La Canada Flintridge, CA 91011-2107
Phone (818) 864-6479

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080321000236 CA Practitioner - Physical Therapist in Private Practice 0749366409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1434 Foothill Blvd
Unit D
La Canada Flintridge, CA 91011-2166
Phone (818) 864-6479

1434 Foothill Blvd Unit D
LA Canada Flintridge, CA 91011-2166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT34070CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hillside Physical Therapy, Inc. Physical Therapist CurrentSince Oct 13, 2015 Accepting new patients
Step Ahead Physical Therapy, Inc. Physical Therapist PastSince Aug 16, 2004 Accepting new patients

Locations

1434 Foothill Blvd
Unit D
La Canada Flintridge, CA 91011
Phone (818) 864-6479

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1235317587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 FOOTHILL BLVD",
            "address_2": "SUITE D",
            "city": "LA CANADA FLINTRIDGE",
            "state": "CA",
            "postal_code": "910112107",
            "telephone_number": "818-864-6479",
            "fax_number": "818-864-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 FOOTHILL BLVD",
            "address_2": "SUITE D",
            "city": "LA CANADA FLINTRIDGE",
            "state": "CA",
            "postal_code": "910112107",
            "telephone_number": "818-864-6479",
            "fax_number": "818-864-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINASSIAN",
        "first_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-07",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT34070",
            "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 Nov 9, 2016; 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.