Individual provider Active NPI

Michelle Mary Babanian, DPT

  • Physical Therapist
  • Glendale, CA
National Provider Identifier
1669291480
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-306992 Issued in CA
Practice address
3600 N Verdugo Rd Ste 300
Glendale, CA 91208-1258
Phone
(818) 236-4833
NPI assigned
Oct 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT-306992 CA Primary

Addresses

Primary practice location

3600 N Verdugo Rd Ste 300
Glendale, CA 91208-1258

Mailing address

11564 Baird Ave
Northridge, CA 91326-1908
Phone (818) 439-3261

Other practice location 1

18840 Ventura Blvd Ste 212
Tarzana, CA 91356-3301
Phone (818) 697-2377

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241031003281 CA Practitioner - Physical Therapist in Private Practice 6800329673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3600 N Verdugo Rd
Suite 300
Glendale, CA 91208-1258
Phone (818) 236-4833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-306992CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Albert Babanian, Inc. Single Specialty CurrentSince Oct 1, 2024 Accepting new patients

Locations

3600 N Verdugo Rd
Ste 300
Glendale, CA 91208
Phone (818) 236-4833

Organizations & group practices 1

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": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1669291480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11564 BAIRD AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913261908",
            "telephone_number": "818-439-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 N VERDUGO RD STE 300",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081258",
            "telephone_number": "818-236-4833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18840 Ventura Blvd Ste 212",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "913563301",
            "country_code": "US",
            "telephone_number": "818-697-2377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BABANIAN",
        "first_name": "MICHELLE",
        "middle_name": "MARY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT-306992",
            "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 Oct 8, 2024; 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.