Individual provider Active NPI

Kacie Emi Morinaga, DPT

  • Physical Therapist
  • Fountain Valley, CA
National Provider Identifier
1154657500
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
35939 Issued in CA
Practice address
10540 Talbert Ave Ste 250W
Fountain Valley, CA 92708-6045
Phone
(714) 964-0727
Fax
(714) 964-1137
NPI assigned
Oct 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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 35939 CA Primary

Addresses

Primary practice location

10540 Talbert Ave Ste 250W
Fountain Valley, CA 92708-6045

Mailing address

10540 Talbert Ave Ste 250W
Fountain Valley, CA 92708-6045
Phone (714) 964-0727

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200817001656 CA Practitioner - Physical Therapist in Private Practice 0446676860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select CS Physical Therapy PCGroup PAC ID 1355742081, 177 clinicians

Practice addresses (Care Compare)

18800 Delaware St
Suite 350
Huntington Beach, CA 92648-6084
Phone (714) 848-8318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35939CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Select CS Physical Therapy, P.C. Physical Therapist Current Accepting new patients
Select CS Physical Therapy, P.C. Physical Therapist CurrentSince Jul 1, 2021 Accepting new patients
Select CS Physical Therapy, P.C. CurrentSince Jul 1, 2021 Accepting new patients

Locations

18800 Delaware St
Ste 350
Huntington Beach, CA 92648
Phone (714) 606-7351

1310 W Stewart Dr
Ste 404
Orange, CA 92868
Phone (714) 707-6466

935 E Ridgecrest Blvd
Ridgecrest, CA 93555
Phone (760) 371-1411

2001 Wilshire Blvd
Ste 310
Santa Monica, CA 90403
Phone (310) 829-3320

Organizations & group practices 3

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": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1154657500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10540 TALBERT AVE STE 250W",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086045",
            "telephone_number": "714-964-0727",
            "fax_number": "714-964-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10540 TALBERT AVE STE 250W",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086045",
            "telephone_number": "714-964-0727",
            "fax_number": "714-964-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORINAGA",
        "first_name": "KACIE",
        "middle_name": "EMI",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "35939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.