| Grigor Greg Balasanyan, PT, DPT | |
|
12410 Burbank Blvd Ste 103, Valley Village, CA 91607-4728 | |
| (818) 804-4888 | |
| Not Available |
| Full Name | Grigor Greg Balasanyan |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 12410 Burbank Blvd Ste 103, Valley Village, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629844881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 305262 (California) | Primary |
| Provider Name | Orthovive Physical Therapy & Wellness Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1437929742 PECOS PAC ID: 9638513963 Enrollment ID: O20240214003925 |
| Mailing Address | Practice Location Address |
|---|---|
| Grigor Greg Balasanyan, PT, DPT 12410 Burbank Blvd Ste 103, Valley Village, CA 91607-4728 Ph: () - | Grigor Greg Balasanyan, PT, DPT 12410 Burbank Blvd Ste 103, Valley Village, CA 91607-4728 Ph: (818) 804-4888 |
Kimberly L Hartt, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12626 Riverside Drive Ste. 512, Valley Village, CA 91607 Phone: 818-308-7141 Fax: 818-301-2660 | |
Alexandra M Stein, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12626 Riverside Dr, Ste 509, Valley Village, CA 91607 Phone: 818-648-3328 | |
Steven Rubin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5312 Teesdale Ave, Valley Village, CA 91607 Phone: 818-406-0254 | |
Rehabulous Physical Therapy, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12526 Riverside Drive, Valley Village, CA 91607 Phone: 650-455-0605 | |
Michal Tal, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 12626 Riverside Dr, Ste 301, Valley Village, CA 91607 Phone: 818-760-0110 Fax: 818-301-0137 | |
Physical Therapy For Specialty Care Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12660 Riverside Dr, #215, Valley Village, CA 91607 Phone: 818-308-8747 | |
Orthovive Physical Therapy & Wellness, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 12410 Burbank Blvd Ste 103, Valley Village, CA 91607 Phone: 818-804-4888 |