Organization Active NPI

Laguna Hills Physical Therapy Inc

  • Physical Therapist
  • Laguna Hills, CA
National Provider Identifier
1093773640
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT25877 Issued in CA
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

Updated by the provider on May 12, 2023

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

Authorized official

Name
Miss Susan Pratt, MPTNPI 1346235900
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070314000614 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4486757218 Receives reassigned benefits from 1 practitioner
Practice locations: Laguna Hills, CA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.