Individual provider Active NPI

Kristin Kulakowski Nauta

  • Physical Therapist
  • Huntington Beach, CA
National Provider Identifier
1043696636
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
6082 Edinger Ave Ste 100
Huntington Beach, CA 92647-3264
Phone
(714) 334-7493
NPI assigned
Aug 5, 2015
Last updated
Feb 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

6082 Edinger Ave Ste 100
Huntington Beach, CA 92647-3264

Mailing address

6811 Spickard Dr
Huntington Beach, CA 92647-5677
Phone (714) 334-7493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190208002953 CA Practitioner - Physical Therapist in Private Practice 0648518019 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

Practice addresses (Care Compare)

16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Change Sports Physical Therapy Institute Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Aug 23, 2024 Accepting new patients
Ann Steinfeld Physical Therapy CurrentSince Sep 1, 2022 Accepting new patients
Rhodes Physical Therapy of Ca Apc Physical Therapist PastSince Aug 17, 2025 Accepting new patients

Locations

1700 Adams Ave
Ste 201
Costa Mesa, CA 92626
Phone (714) 556-1600

6082 Edinger Ave
Ste 100
Huntington Beach, CA 92647
Phone (714) 840-1505

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1043696636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 SPICKARD DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475677",
            "telephone_number": "714-334-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6082 EDINGER AVE STE 100",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473264",
            "telephone_number": "714-334-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAUTA",
        "first_name": "KRISTIN",
        "middle_name": "KULAKOWSKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.