Individual provider Active NPI

Catharina Gerken, PT

  • Physical Therapist
  • Newport Beach, CA
National Provider Identifier
1225181852
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
MSPT14239 Issued in CA
Practice address
369 San Miguel Dr
Ste 265
Newport Beach, CA 92660-7818
Phone
(949) 644-2022
Fax
(949) 644-1914
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MSPT14239 CA Primary

Addresses

Primary practice location

369 San Miguel Dr
Ste 265
Newport Beach, CA 92660-7818

Mailing address

1806 Port Kimberly PL
Newport Beach, CA 92660-6620
Phone (949) 644-2022

Other identifiers 1

IdentifierTypeStateIssuer
PT14239OtherCALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MSPT14239CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Einhorn Mandas & Bradley Rehab Inc Physical Therapist Past Accepting new patients

Organizations & group practices 1

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225181852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 PORT KIMBERLY PL",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606620",
            "telephone_number": "949-644-2022",
            "fax_number": "949-644-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 SAN MIGUEL DR",
            "address_2": "STE 265",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607818",
            "telephone_number": "949-644-2022",
            "fax_number": "949-644-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERKEN",
        "first_name": "CATHARINA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "MSPT14239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT14239",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.