Hillside Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT34070 Issued in CA

Legal business name

HILLSIDE PHYSICAL THERAPY, INC.

Practice address

1434 Foothill Blvd
Ste D
La Canada Flintridge, CA 91011-2107

Phone

(818) 864-6479

NPI assigned

Nov 22, 2016

Organization subpart

No

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

Authorized official

Name

Allen Minassian, DPTNPI 1235317587

Title

Owner

Phone

(818) 864-6479

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Allen Minassian, PT, DPT

  • Physical Therapist
  • La Canada Flintridge, CA
  • NPI 1235317587
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1700329885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 FOOTHILL BLVD",
            "address_2": "STE D",
            "city": "LA CANADA FLINTRIDGE",
            "state": "CA",
            "postal_code": "910112107",
            "telephone_number": "818-864-6479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 FOOTHILL BLVD",
            "address_2": "STE D",
            "city": "LA CANADA FLINTRIDGE",
            "state": "CA",
            "postal_code": "910112107",
            "telephone_number": "818-864-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "MINASSIAN",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-864-6479",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT34070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in La Canada Flintridge, CA
• Providers in La Canada Flintridge, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.