Individual provider Active NPI

Karina Lea Nichols

  • Physical Therapist
  • Torrance, CA
National Provider Identifier
1184461196
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
306244 Issued in CA
Practice address
3878 W Carson St Ste 101
Torrance, CA 90503-6707
Phone
(310) 316-8878
Fax
(310) 316-8879
NPI assigned
Jul 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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 306244 CA Primary

Addresses

Primary practice location

3878 W Carson St Ste 101
Torrance, CA 90503-6707

Mailing address

3878 W Carson St Ste 101
Torrance, CA 90503-6707
Phone (310) 316-8878

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250922000802 CA Practitioner - Physical Therapist in Private Practice 4082154661 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evergreen Physical Therapy Specialists IncGroup PAC ID 9537111745, 13 clinicians

Practice addresses (Care Compare)

111 S Hudson Ave
Pasadena, CA 91101-2606
Phone (626) 683-8536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
306244CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sparc Physical Therapy, Inc. Physical Therapist CurrentSince Aug 21, 2024 Accepting new patients
Evergreen Physical Therapy Specialists, Inc Physical Therapist CurrentSince Aug 4, 2025 Accepting new patients
Foothill Family Service - Hudson PastSince Aug 4, 2025 Accepting new patients

Locations

111 S Hudson Ave
Pasadena, CA 91101
Phone (626) 683-8536

3878 W Carson St
Ste 101
Torrance, CA 90503
Phone (310) 316-8878

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": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1184461196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3878 W CARSON ST STE 101",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036707",
            "telephone_number": "310-316-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3878 W CARSON ST STE 101",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036707",
            "telephone_number": "310-316-8878",
            "fax_number": "310-316-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "KARINA",
        "middle_name": "LEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.