Individual provider Active NPI

Monica Khechumian, PT, DPT, MPH, CSCS

  • Physical Therapist
  • Glendale, CA
National Provider Identifier
1811623127
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
302098 Issued in CA
Practice address
654 Hawthorne St
Glendale, CA 91204-1002
Phone
(818) 482-8491
NPI assigned
Jul 28, 2022
Last updated
Nov 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 302098 CA Primary

Addresses

Primary practice location

654 Hawthorne St
Glendale, CA 91204-1002

Mailing address

360 Burchett St Unit 6
Glendale, CA 91203-1398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1811623127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 BURCHETT ST UNIT 6",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 HAWTHORNE ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041002",
            "telephone_number": "818-482-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHECHUMIAN",
        "first_name": "MONICA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, MPH, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.