Active NPI
Michelle Mary Babanian, DPT
- Physical Therapist
- Glendale, CA
National Provider Identifier
1669291480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-306992
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT-306992 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albert Babanian, Inc. | Single Specialty | Current | 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.