Activia Physical Therapy, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ACTIVIA PHYSICAL THERAPY, INC

Practice address

10324 Balboa Blvd Ste 101
Granada Hills, CA 91344-7349

Phone

(424) 344-4474

Fax

(818) 279-2804

NPI assigned

Sep 14, 2024

Organization subpart

No

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

Authorized official

Name

Laura Aghajanyan

Title

Ceo

Phone

(818) 458-1500

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1726272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1255168357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10324 BALBOA BLVD STE 101",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913447349",
            "telephone_number": "424-344-4474",
            "fax_number": "818-279-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10324 BALBOA BLVD STE 101",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913447349",
            "telephone_number": "424-344-4474",
            "fax_number": "818-279-2804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10324 Balboa Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Granada Hills",
            "state": "CA",
            "postal_code": "913447349",
            "country_code": "US",
            "telephone_number": "424-344-4474",
            "fax_number": "818-279-2804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACTIVIA PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-14",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "AGHAJANYAN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-458-1500"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.