Rancho Mirage Outpatient Physical Therapy Inc
NPI 1023954971ActiveOrganization· Physical Therapist· Rancho Mirage, CA
Physical Therapist in Rancho Mirage, California, registered in NPPES in April 2026. The authorized official on file is Avetik Hovhannisyan, Ceo/Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1023954971 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 24, 2026 |
| Last updated in NPPES | Apr 24, 2026 |
| Certified by provider | Apr 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (CA) |
|---|
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