Active NPI
Laguna Hills Physical Therapy Inc
- Physical Therapist
- Laguna Hills, CA
National Provider Identifier
1093773640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT25877
- Legal business name
- LAGUNA HILLS PHYSICAL THERAPY INC
- Doing business as
- Laguna Hills Physical Therapy
- Practice address
- 25431 Cabot Rd Ste 101
Laguna Hills, CA 92653-5526 - Phone
- (949) 830-6220
- Fax
- (949) 830-6227
- NPI assigned
- May 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Susan Pratt, MPT
- Title
- Physical Therapist Owner
- Phone
- (949) 830-6220
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT25877 | CA | Primary |
Addresses
Primary practice location
25431 Cabot Rd Ste 101
Laguna Hills, CA 92653-5526
Mailing address
25431 Cabot Rd Ste 101
Laguna Hills, CA 92653-5526
Phone (949) 830-6220
Other names 1
- Laguna Hills Physical Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
25431 Cabot Rd
Ste 131
Laguna Hills, CA 92653
25431 Cabot Rd
Ste 101
Laguna Hills, CA 92653
Phone (949) 830-6220
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683849600000",
"number": "1093773640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25431 CABOT RD STE 101",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926535526",
"telephone_number": "949-830-6220",
"fax_number": "949-830-6227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25431 CABOT RD STE 101",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926535526",
"telephone_number": "949-830-6220",
"fax_number": "949-830-6227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAGUNA HILLS PHYSICAL THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-03",
"last_updated": "2023-05-12",
"certification_date": "2023-05-12",
"status": "A",
"authorized_official_last_name": "PRATT",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "PHYSICAL THERAPIST OWNER",
"authorized_official_telephone_number": "949-830-6220",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "MPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT25877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Laguna Hills Physical Therapy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Laguna Hills Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
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 May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.