Ava Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

AVA PHYSICAL THERAPY PC

Practice address

10515 Balboa Blvd Ste 140
Granada Hills, CA 91344-6350

Phone

(818) 363-0339

Fax

(818) 363-0039

NPI assigned

Nov 22, 2024

Organization subpart

No

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

Authorized official

Name

Alma Garcia

Title

Office Manager

Phone

(562) 427-2225

Specialties & licenses 1

Addresses

Other names 1

• Physical Therapy Specialist Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandon Johansen Bishop, DPT

  • Physical Therapist
  • Signal Hill, CA
  • NPI 1740528892
  Medicare reassignment Care Compare group NPD
• Rizza Buan-Mendiola

  • Physical Therapist
  • Granada Hills, CA
  • NPI 1326926106
  Medicare reassignment Care Compare group NPD
• Fei Zang, DPT

  • Physical Therapist
  • Beverly Hills, CA
  • NPI 1124496831
  Medicare reassignment Care Compare group NPD
• Matthew Joshua Williams, DPT

  • Physical Therapist
  • Granada Hills, CA
  • NPI 1184440075
  Medicare reassignment NPD

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1346065455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 BALBOA BLVD STE 140",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446350",
            "telephone_number": "818-363-0339",
            "fax_number": "818-363-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 BALBOA BLVD STE 140",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446350",
            "telephone_number": "818-363-0339",
            "fax_number": "818-363-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVA PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ALMA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "562-427-2225"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amir Rod Atarodi, BA
• Patricia E Attalla, R.N.
• Irene Azer Attallah, PHARMD
• Aurora Congregate Health
• Aurora Home for Seniors
• Levon Avakian, RDO
• Carla Avalos
• Avanti Home Doctors, Inc.
• Avanti Transportation Services LLC
• Dzhoni Avetisyan, D.D.S.

• 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 Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.