Organization Active NPI

Impact Injury Physical Therapy Inc

  • Physical Therapist
  • La Crescenta, CA
National Provider Identifier
1780064162
Registry record updated Sep 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT41720 Issued in CA
Legal business name
IMPACT INJURY PHYSICAL THERAPY INC
Practice address
2944 Santa Carlotta St
La Crescenta, CA 91214-2022
Phone
(818) 389-8997
NPI assigned
Jun 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2022

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

Authorized official

Name
Narbeh Emin Yermian, R.P.T.
Title
Physical Therapist
Phone
(818) 389-8997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT41720 CA Primary

Addresses

Primary practice location

2944 Santa Carlotta St
La Crescenta, CA 91214-2022

Mailing address

2944 Santa Carlotta St
La Crescenta, CA 91214-2022
Phone (818) 389-8997

Other practice location 1

311 N Verdugo Rd
Glendale, CA 91206-3944
Phone (818) 553-1790

National Provider Directory

National Provider Directory

Locations

311 N Verdugo Rd
Glendale, CA 91206
Phone (818) 247-1331

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663459200000",
    "number": "1780064162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2944 SANTA CARLOTTA ST",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912142022",
            "telephone_number": "818-389-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2944 SANTA CARLOTTA ST",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912142022",
            "telephone_number": "818-389-8997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 N Verdugo Rd",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912063944",
            "country_code": "US",
            "telephone_number": "818-553-1790",
            "fax_number": "818-553-1720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IMPACT INJURY PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2022-09-18",
        "certification_date": "2022-09-18",
        "status": "A",
        "authorized_official_last_name": "YERMIAN",
        "authorized_official_first_name": "NARBEH",
        "authorized_official_middle_name": "EMIN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "818-389-8997",
        "authorized_official_credential": "R.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT41720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crescenta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.