Nelson Petrosyan, PT, DPT
NPI 1053167049ActiveIndividual· Physical Therapist· Glendale, CA
Physical Therapist (PT, DPT) in Glendale, California, licensed in CA, with an NPI issued in April 2024. Medicare paid $11,734 for services to 14 patients in 2024.
Overview
| NPI | 1053167049 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | Yes |
| NPI issued | Apr 29, 2024 |
| Last updated in NPPES | Apr 29, 2024 |
| Certified by provider | Apr 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT39694 | CA |
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 Practitioner - Physical Therapist in Private Practice (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 14 |
|---|---|
| Services billed | 503 across 9 procedure codes |
| Paid by Medicare | $11,734 |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
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