Individual provider Active NPI

Christina Kwak, DPT

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1124787544
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
301340 Issued in CA
Practice address
505 S Virgil Ave Ste 204a
Los Angeles, CA 90020-1443
Phone
(213) 674-7699
NPI assigned
Dec 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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 301340 CA Primary

Addresses

Primary practice location

505 S Virgil Ave Ste 204a
Los Angeles, CA 90020-1443

Mailing address

505 S Virgil Ave Ste 204a
Los Angeles, CA 90020-1443
Phone (213) 674-7699

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220207001727 CA Practitioner - Physical Therapist in Private Practice 0840683207 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascend Physical Therapy IncGroup PAC ID 5597071860, 9 clinicians

Practice addresses (Care Compare)

12465 Lewis St
Suite 101
Garden Grove, CA 92840-4658
Phone (714) 703-8477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
CJ Physiotherapy Inc Physical Therapy CurrentSince Dec 13, 2021 Accepting new patients
Rhodes Physical Therapy of Ca Apc CurrentSince Aug 17, 2025 Accepting new patients
Ann Steinfeld Physical Therapy Physical Therapy CurrentSince Mar 28, 2024 Accepting new patients
Ascend Physical Therapy, Inc CurrentSince Oct 1, 2024 Accepting new patients
Innovative Management Inc Physical Therapy CurrentSince Oct 1, 2024 Accepting new patients
Equip Physical Therapy and Rehabilitation Inc Physical Therapy CurrentSince Dec 13, 2021 Accepting new patients

Locations

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

642 W Commonwealth Ave
Fullerton, CA 92832
Phone (213) 674-7699

12465 Lewis St
Ste 101
Garden Grove, CA 92840
Phone (714) 703-8477

505 S Virgil Ave
Ste 204A
Los Angeles, CA 90020
Phone (213) 674-7699

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1124787544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S VIRGIL AVE STE 204A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201443",
            "telephone_number": "213-674-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S VIRGIL AVE STE 204A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201443",
            "telephone_number": "213-674-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAK",
        "first_name": "CHRISTINA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.