Active NPI
Laura Nazaryan, D.P.T.
- Physical Therapist
- La Verne, CA
National Provider Identifier
1700906138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 33250
- Practice address
- 2123 Foothill Blvd Ste D
La Verne, CA 91750 - Phone
- (909) 596-9696
- Fax
- (909) 596-9698
- NPI assigned
- Mar 30, 2007
- Last updated
- Jun 11, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 33250 | CA | Primary |
Addresses
Primary practice location
2123 Foothill Blvd Ste D
La Verne, CA 91750
Mailing address
1407 Foothill Blvd # 101
La Verne, CA 91750-3451
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, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2123 Foothill Blvd
Suite D
La Verne, CA 91750-2954
Phone (818) 415-1522
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33250 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ign Physiotherapy Inc | Physical Therapist | Current | Accepting new patients |
Locations
1407 Foothill Blvd
La Verne, CA 91750
Phone (909) 596-3577
2123 Foothill Blvd
Ste D
La Verne, CA 91750
Phone (818) 415-1522
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528675200000",
"number": "1700906138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1407 FOOTHILL BLVD # 101",
"city": "LA VERNE",
"state": "CA",
"postal_code": "917503451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2123 FOOTHILL BLVD STE D",
"city": "LA VERNE",
"state": "CA",
"postal_code": "91750",
"telephone_number": "909-596-9696",
"fax_number": "909-596-9698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAZARYAN",
"first_name": "LAURA",
"name_prefix": "Dr.",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2018-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "33250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Verne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.