Alexia Kate Agamata, PT, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

304407 Issued in CA

Practice address

2075 Newport Blvd Ste 107
Costa Mesa, CA 92627-2179

Phone

(949) 836-5239

Fax

(949) 301-9608

NPI assigned

Aug 9, 2023

Last updated

Aug 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Rehabilitation and Sports Therapy a California Physical theGroup PAC ID 6709788896, 182 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.23 of 100Reported as group

Quality

99.26

Improvement activities

40

Cost

75.46

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alexia.agamata.p1@direct.newportortho.nextgenshare.com

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.

• California Rehabilitation & Sports Therapy a California Physical Ther

  dba California Rehabilitation & Sports Therapy

  • Multi-Specialty Clinic/Center
  • Mission Viejo, CA
  • NPI 1386696409

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Cuirim Sports Physical Therapy Inc

  dba Cuirim Sports Recovery

  • Physical Therapist
  • Costa Mesa, CA
  • NPI 1801435193
  Medicare reassignment NPD
• California Rehab & Sports Therapy

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1508540279
  NPD
• California Rehabilitation & Sports Therapy a California Physical Ther

  dba California Hand Therapy

  • Physical Therapist
  • Lakewood, CA
  • NPI 1578514113
  NPD
• California Rehabilitation & Sports Therapy a California Physical Ther

  dba California Rehabilitation - Corona

  • Physical Therapy Clinic/Center
  • Corona, CA
  • NPI 1255986873

  Physical Therapist

  NPD (past)
• California Rehabilitation & Sports Therapy a California Physical Ther

  • Physical Therapy Clinic/Center
  • Camarillo, CA
  • NPI 1669066940

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1104509850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 HAWKSMOOR",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926561536",
            "telephone_number": "949-351-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 NEWPORT BLVD STE 107",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272179",
            "telephone_number": "949-836-5239",
            "fax_number": "949-301-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGAMATA",
        "first_name": "ALEXIA",
        "middle_name": "KATE",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advantage Plus Medical Group
• Aero Mobility, Inc. (Aero Prosthetics)
• Micheal Aesir
• Shirin Afrasiabi, M.D. INC
• Bahar Afsahi
• Divya Agarwal, DDS
• Melissa Nicole Agena
• Melissa Agredano
• Anna Aguayo
• Maryana Aguiar

• Physical Therapist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.