Individual provider Active NPI

Kristin Vanprooyen

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1184489270
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1333 Camino del Rio S Ste 103
San Diego, CA 92108-3520
Phone
(619) 501-2195
Fax
(619) 501-2176
NPI assigned
Feb 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 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 Primary

Addresses

Primary practice location

1333 Camino del Rio S Ste 103
San Diego, CA 92108-3520

Mailing address

1333 Camino del Rio S Ste 103
San Diego, CA 92108-3520

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240425000672 CA Practitioner - Physical Therapist in Private Practice 6800236886 Reassigns benefits to 3 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
Catalyst Physical Therapy and Wellness IncGroup PAC ID 0446488324, 17 clinicians
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians
Ignite Phyzio and Sports Performance IncGroup PAC ID 0042649584, 8 clinicians

Practice addresses (Care Compare)

1333 Camino del Rio S
Suite 103
San Diego, CA 92108-3520
Phone (619) 501-2195

16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175

2925 Airway Ave
Suite a
Costa Mesa, CA 92626-6029
Phone (714) 335-3182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Physical Therapy & Wellness, Inc. Physical Therapist CurrentSince Mar 11, 2024 Accepting new patients

Locations

1333 Camino del Rio S
Ste 103
San Diego, CA 92108
Phone (619) 501-2195

10890 Thornmint Rd
Ste 100
San Diego, CA 92127
Phone (619) 501-2195

4490 W Point Loma Blvd
San Diego, CA 92107
Phone (619) 221-9000

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": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1184489270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 CAMINO DEL RIO S STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 CAMINO DEL RIO S STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083520",
            "telephone_number": "619-501-2195",
            "fax_number": "619-501-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANPROOYEN",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.