Provider Demographics
NPI:1245026194
Name:OHANESSIAN PHYSICAL THERAPY INC.
Entity type:Organization
Organization Name:OHANESSIAN PHYSICAL THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:OHANESSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:415-420-7623
Mailing Address - Street 1:166 SPRINGFIELD DR
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94132-1455
Mailing Address - Country:US
Mailing Address - Phone:415-420-7623
Mailing Address - Fax:
Practice Address - Street 1:166 SPRINGFIELD DR
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94132-1455
Practice Address - Country:US
Practice Address - Phone:415-420-7623
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy