Kevork Keurjikian

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT303403 Issued in CA

Practice address

4795 Vineland Ave Ste B
North Hollywood, CA 91602-3546

Phone

(818) 639-3402

Fax

(818) 639-3425

NPI assigned

Jun 22, 2023

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nova Physical Therapy Prof. Corp.Group PAC ID 2062881972, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Nova Physical Therapy Prof. Corp.

  • Physical Therapist
  • North Hollywood, CA
  • NPI 1679299903
  Medicare reassignment Care Compare group
• Active Life Physical Therapy, Inc.

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1225330616
  NPD (past)

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1417633645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N KINGSLEY DR APT 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4795 VINELAND AVE STE B",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916023546",
            "telephone_number": "818-639-3402",
            "fax_number": "818-639-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEURJIKIAN",
        "first_name": "KEVORK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT303403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth M. Rice, M.D., P.C.
• Kenneth P. Cartwright,M.D.,Inc.
• Gohar Keshishyan
• Jamie Kessler, MS, RD
• Lital Kessler
• Ryan Keyser
• Khachatrian Medical Corp
• Khachatryan Psychology, PC
• Marine Khachatryan
• Emineh Khachian, DDS

• Physical Therapist in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.