Active NPI
Kaylie Fisher
- Physical Therapist
- Laguna Hills, CA
National Provider Identifier
1003450651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT297602
- Practice address
- 24422 Avenida de la Carlota Ste 190
Laguna Hills, CA 92653-3634 - Phone
- (949) 340-6927
- NPI assigned
- Nov 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT297602 | CA | Primary |
Addresses
Primary practice location
24422 Avenida de la Carlota Ste 190
Laguna Hills, CA 92653-3634
Mailing address
24422 Avenida de la Carlota Ste 190
Laguna Hills, CA 92653-3634
Phone (949) 340-6927
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | completebalancesolutions.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT297602 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572998400000",
"number": "1003450651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24422 AVENIDA DE LA CARLOTA STE 190",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926533634",
"telephone_number": "949-340-6927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24422 AVENIDA DE LA CARLOTA STE 190",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926533634",
"telephone_number": "949-340-6927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "KAYLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-06",
"last_updated": "2019-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT297602",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "completebalancesolutions.com",
"affiliation": "N",
"address_1": "24422 Avenida De La Carlota Ste 190",
"city": "Laguna Hills",
"state": "CA",
"country_code": "US",
"postal_code": "926533634",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.