Individual provider Active NPI

Kristina M Lagana, DPT

  • Orthopedic Physical Therapist
  • Los Gatos, CA
National Provider Identifier
1174841803
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT35213 Issued in CA
Practice address
15405 Los Gatos Blvd
Suite 101
Los Gatos, CA 95032-2500
Phone
(408) 444-7422
Fax
(408) 498-5842
NPI assigned
May 5, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT35213 CA Primary

Addresses

Primary practice location

15405 Los Gatos Blvd
Suite 101
Los Gatos, CA 95032-2500

Mailing address

15405 Los Gatos Blvd
Suite 101
Los Gatos, CA 95032-2500
Phone (408) 444-7422

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150128000701 CA Practitioner - Physical Therapist in Private Practice 0345374930 Reassigns benefits to 1 organization
Practice locations: Los Gatos, CA

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
Monterey Peninsula Physical TherapyGroup PAC ID 3476728346, 2 clinicians

Practice addresses (Care Compare)

337 El Dorado St
Suite B5
Monterey, CA 93940-4638
Phone (831) 646-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Monterey Peninsula Physical Therapy Orthopedic CurrentSince Feb 1, 2021 Accepting new patients
Kristina Lagana PastSince Dec 10, 2014 Accepting new patients

Locations

337 El Dorado St
Ste B5
Monterey, CA 93940
Phone (831) 646-1100

Organizations & group practices 2

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": "1273017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1174841803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15405 LOS GATOS BLVD",
            "address_2": "SUITE 101",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322500",
            "telephone_number": "408-444-7422",
            "fax_number": "408-498-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15405 LOS GATOS BLVD",
            "address_2": "SUITE 101",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322500",
            "telephone_number": "408-444-7422",
            "fax_number": "408-498-5842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGANA",
        "first_name": "KRISTINA",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-05",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT35213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.