Individual provider Active NPI

Ani Khachatoorians, PT, DPT

  • Physical Therapist
  • Glendale, CA
National Provider Identifier
1508334020
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
500 N Central Ave Ste 350
Glendale, CA 91203-3926
Phone
(818) 240-5012
NPI assigned
Nov 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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 Primary

Addresses

Primary practice location

500 N Central Ave Ste 350
Glendale, CA 91203-3926

Mailing address

1049 Willard Ave
Glendale, CA 91201-2216
Phone (818) 804-1387

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250916000829 CA Practitioner - Physical Therapist in Private Practice 5890299754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plaza Verdugo Fitness and Rehabilitation IncGroup PAC ID 0547256778, 4 clinicians

Practice addresses (Care Compare)

1809 Verdugo Blvd
Suite 160
Glendale, CA 91208-1417
Phone (818) 952-8707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Plaza Verdugo Fitness and Rehabilitation Inc Physical Therapist CurrentSince Aug 4, 2025 Accepting new patients
Joseph S Luk Physical Therapy, Inc. Physical Therapist Past Accepting new patients

Locations

1809 Verdugo Blvd
Ste 160
Glendale, CA 91208
Phone (818) 952-8707

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": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1508334020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 WILLARD AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912012216",
            "telephone_number": "818-804-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N CENTRAL AVE STE 350",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033926",
            "telephone_number": "818-240-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHACHATOORIANS",
        "first_name": "ANI",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.