SG Mikita RPT a Physical Therapy Corporation

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT28298 Issued in CA

Legal business name

SG MIKITA RPT A PHYSICAL THERAPY CORPORATION

Practice address

10718 White Oak Ave
Suite 2
Granada Hills, CA 91344-4628

Phone

(818) 368-9484

Fax

(818) 368-8054

NPI assigned

Mar 26, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Brandon Bishop, DPTNPI 1740528892

Title

Owner

Phone

(818) 368-9484

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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 Authorized official
• Rodrigo Castaniaga, PT

  • Physical Therapist
  • Northridge, CA
  • NPI 1407091606
  Medicare reassignment Care Compare group NPD
• Stephen G. Mikita, R.P.T.

  • Physical Therapist
  • Granada Hills, CA
  • NPI 1790712644
  Medicare reassignment NPD
• Joebert Abaygar Tan

  • Physical Therapist
  • Granada Hills, CA
  • NPI 1235710096
  NPD

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1487826889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10718 WHITE OAK AVE",
            "address_2": "SUITE 2",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913444628",
            "telephone_number": "818-368-9484",
            "fax_number": "818-368-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10718 WHITE OAK AVE",
            "address_2": "SUITE 2",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913444628",
            "telephone_number": "818-368-9484",
            "fax_number": "818-368-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SG MIKITA RPT A PHYSICAL THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-368-9484",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT28298",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sara Sheehan, M.A.
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• Steven Charles Shoham, MD

• Physical Therapy Clinic/Center in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.