Individual provider Active NPI

Katie Campagna, PT, DPT

  • Physical Therapist
  • Torrance, CA
National Provider Identifier
1205446309
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
306835 Issued in CA
Practice address
3445 Pacific Coast Hwy Ste 310
Torrance, CA 90505-6660
Phone
(310) 370-1200
NPI assigned
Aug 4, 2020
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 50628 CA
Physical Therapist 225100000X 306835 CA Primary

Addresses

Primary practice location

3445 Pacific Coast Hwy Ste 310
Torrance, CA 90505-6660

Mailing address

10664 Saint James Dr
Culver City, CA 90230-5498

Other practice location 1

10664 Saint James Dr
Culver City, CA 90230-5498
Phone (310) 838-2778

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241105001310 CA Practitioner - Physical Therapist in Private Practice 2264966860 Reassigns benefits to 1 organization

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
Telehealth
Offers telehealth services
Group practices
Women's Advantage Physical Therapy IncGroup PAC ID 5698940138, 24 clinicians

Practice addresses (Care Compare)

4301 Atlantic Ave
Suite 5
Long Beach, CA 90807-2833
Phone (310) 370-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50628CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Advantage Physical Therapy Inc CurrentSince Sep 9, 2024 Accepting new patients
Pearl Chiropractic Inc PastSince Jul 23, 2020 Accepting new patients

Locations

3711 Long Beach Blvd
Ste 805
Long Beach, CA 90807
Phone (310) 370-1200

4301 Atlantic Ave
Ste 5
Long Beach, CA 90807
Phone (310) 370-1200

2842 Sepulveda Blvd
Torrance, CA 90505
Phone (310) 325-0800

3445 Pacific Coast Hwy
Ste 310
Torrance, CA 90505
Phone (310) 370-1200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1205446309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10664 SAINT JAMES DR",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902305498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 PACIFIC COAST HWY STE 310",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056660",
            "telephone_number": "310-370-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10664 Saint James Dr",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "902305498",
            "country_code": "US",
            "telephone_number": "310-838-2778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPAGNA",
        "first_name": "KATIE",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "50628",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306835",
            "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 Oct 17, 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.