Nova Physical Therapy Prof. Corp.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

NOVA PHYSICAL THERAPY PROF. CORP.

Practice address

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

Phone

(818) 639-3402

Fax

(818) 639-3425

NPI assigned

Oct 18, 2022

Organization subpart

No

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

Authorized official

Name

Stepan Mkrtchyan, PT, DPTNPI 1093467607

Title

President

Phone

(818) 639-3402

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stepan Mkrtchyan, PT, DPT

  • Physical Therapist
  • North Hollywood, CA
  • NPI 1093467607
  Medicare reassignment Care Compare group NPD Authorized official
• Kevork Keurjikian

  • Physical Therapist
  • North Hollywood, CA
  • NPI 1417633645
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1679299903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4795 VINELAND AVE STE E",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916023546",
            "telephone_number": "818-639-3402",
            "fax_number": "818-639-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA PHYSICAL THERAPY PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-18",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "MKRTCHYAN",
        "authorized_official_first_name": "STEPAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-639-3402",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nicole Norwood
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• Rosemarie Agnes Novak, MBA
• Novamed Diagnostics Inc
• Now and Forever Adult Day Health Care
• Nrsa Inc
• Abigail Nunez Hernandez

• 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 Apr 17, 2024; 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.