Organization Active NPI

Care 1St Outpatient Physical Therapy Inc

  • Physical Therapist
  • Pasadena, CA
National Provider Identifier
1891522348
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CARE 1ST OUTPATIENT PHYSICAL THERAPY INC
Practice address
1450 W Colorado Blvd Unit 101
Pasadena, CA 91105-1467
Phone
(747) 273-7443
NPI assigned
Sep 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Authorized official

Name
Dayana Hovhannisyan
Title
Owner
Phone
(747) 273-7443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1450 W Colorado Blvd Unit 101
Pasadena, CA 91105-1467

Mailing address

1450 W Colorado Blvd Unit 101
Pasadena, CA 91105-1467
Phone (747) 273-7443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241014001345 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0840722070 Receives reassigned benefits from 2 practitioners
Practice locations: Pasadena, CA

National Provider Directory

National Provider Directory

Locations

1450 W Colorado Blvd
Unit 101
Pasadena, CA 91105
Phone (747) 273-7443

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1891522348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 W COLORADO BLVD UNIT 101",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911051467",
            "telephone_number": "747-273-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 W COLORADO BLVD UNIT 101",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911051467",
            "telephone_number": "747-273-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE 1ST OUTPATIENT PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "HOVHANNISYAN",
        "authorized_official_first_name": "DAYANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "747-273-7443"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.