Nicole Ariana Petrousian, PT, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT294829 Issued in CA

Practice address

2001 W Alameda Ave
Burbank, CA 91506-2932

Phone

(818) 953-4444

NPI assigned

Jun 5, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aaron McGuinness Physical Therapist Inc

  • Physical Therapy Clinic/Center
  • La Canada, CA
  • NPI 1952787988
  Medicare reassignment NPD
• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment NPD
• Steven D Newton Physical Therapist Inc

  • Physical Therapy Clinic/Center
  • Burbank, CA
  • NPI 1245639764
  Medicare reassignment NPD
• Premiere Medical Center of Burbank, Inc.

  • Internal Medicine Physician
  • Toluca Lake, CA
  • NPI 1831329218
  NPD (past)

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1982196911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W ALAMEDA AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062932",
            "telephone_number": "818-953-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W ALAMEDA AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062932",
            "telephone_number": "818-953-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROUSIAN",
        "first_name": "NICOLE",
        "middle_name": "ARIANA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT294829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Remy Leigh Peters, RD CNSC
• Petrossian Pharmacy Inc
• Melanie Petrossian, FNP-C
• Narbeh Petrossian
• Hakop Petrosyan, RPH
• Pezeshkian Chiropractic PC
• David Phak, PMHNP-BC
• Catherine My-Hanh Pham, DDS
• Uyen Pham, D.D.S.
• Alison Thuy Tien Phan, DMD

• Physical Medicine & Rehabilitation Physician in Burbank, CA
• Providers in Burbank, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.