Plaza Verdugo Fitness and Rehabilitation Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 56973 Issued in CA

Legal business name

PLAZA VERDUGO FITNESS AND REHABILITATION INC

Doing business as

Plaza Verdugo Fitness & Rehab, Inc.

Practice address

1809 Verdugo Blvd
Suite 160
Glendale, CA 91208-1402

Phone

(818) 952-8707

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Carmela Ortega

Title

Offfice Manager

Phone

(818) 952-8707

Specialties & licenses 1

Addresses

Other names 1

• Plaza Verdugo Fitness & Rehab, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ani Khachatoorians, PT, DPT

  • Physical Therapist
  • Glendale, CA
  • NPI 1508334020
  Medicare reassignment Care Compare group NPD
• Cassidy Hutchins Hing, PT,DPT

  • Physical Medicine & Rehabilitation Physician
  • Glendale, CA
  • NPI 1467063354
  Medicare reassignment Care Compare group
• Jane Shau-Chien Mead, M.S., P.T.

  • Physical Therapist
  • Glendale, CA
  • NPI 1457457715
  Medicare reassignment Care Compare group
• Karine Yeterian, PT, DPT

  • Physical Therapist
  • Glendale, CA
  • NPI 1942965694
  Medicare reassignment Care Compare group
• Joslynn Monae Fletcher, PT, DPT

  • Physical Therapist
  • Glendale, CA
  • NPI 1235807363
  Medicare reassignment
• Emily Beth Conner, PTA

  • Physical Therapy Assistant
  • Glendale, CA
  • NPI 1518518638
  NPD
• Nathan Barr, PT, DPT

  • Physical Therapist
  • Richmond, CA
  • NPI 1699215673
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1689748329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 VERDUGO BLVD",
            "address_2": "SUITE 160",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 VERDUGO BLVD",
            "address_2": "SUITE 160",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081402",
            "telephone_number": "818-952-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA VERDUGO FITNESS AND REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2025-09-02",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "CARMELA",
        "authorized_official_title_or_position": "OFFFICE MANAGER",
        "authorized_official_telephone_number": "818-952-8707"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 56973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plaza Verdugo Fitness & Rehab, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Glendale, CA
• Providers in Glendale, CA by specialty
• Physical Therapist in California

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