Individual provider Active NPI

Anita Padmanabhan Krishnan, P.T., D.P.T.

  • Physical Therapist
  • Aliso Viejo, CA
National Provider Identifier
1235478298
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
294621 Issued in CA
Practice address
5 Journey Ste 100
Aliso Viejo, CA 92656
Phone
(949) 716-4548
Fax
(949) 271-2311
NPI assigned
Feb 11, 2013
Last updated
May 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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 294621 CA Primary

Addresses

Primary practice location

5 Journey Ste 100
Aliso Viejo, CA 92656

Mailing address

26741 Portola Pkwy Ste 1E-630
Foothill Ranch, CA 92610-1743
Phone (949) 597-2103

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191021002017 CA Practitioner - Physical Therapist in Private Practice 7719282227 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians
Stay Ready IncGroup PAC ID 5395840466, 8 clinicians

Practice addresses (Care Compare)

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

5478 Wilshire Blvd
Suite 208
Los Angeles, CA 90036-4225
Phone (323) 936-7525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist CurrentSince Jul 16, 2020 Accepting new patients
Hands on Rehab & Aquatics Physical Therapist CurrentSince Aug 10, 2019 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Current Accepting new patients
Stay Ready Inc Physical Therapist CurrentSince Dec 21, 2023 Accepting new patients
California Rehab & Sports Therapy CurrentSince Jul 16, 2020 Accepting new patients
Hands on Rehab, Inc. Physical Therapist CurrentSince Feb 1, 2020 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Dec 10, 2025 Accepting new patients
Body Rehab Center Physical Therapist PastSince Dec 21, 2023 Accepting new patients
Intecore, Inc. Physical Therapist Past Accepting new patients

Locations

505 N Euclid St
Ste 680
Anaheim, CA 92801
Phone (714) 780-0010

17323 Ventura Blvd
Ste 100
Encino, CA 91316
Phone (323) 936-7525

7921 Professional Cir
Huntington Beach, CA 92648
Phone (714) 847-8751

2888 Long Beach Blvd
Ste 405
Long Beach, CA 90806
Phone (562) 595-4489

5478 Wilshire Blvd
Ste 208
Los Angeles, CA 90036
Phone (323) 936-7525

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 409-4167

1601 Dove St
Ste 130
Newport Beach, CA 92660

1601 Dove St
Ste 242
Newport Beach, CA 92660
Phone (714) 847-8751

31105 Rancho Viejo Rd
Ste C9
San Juan Capo, CA 92675
Phone (949) 240-6196

19000 Hawthorne Blvd
Ste 300
Torrance, CA 90503
Phone (310) 793-1800

Organizations & group practices 9

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": "1360540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1235478298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26741 PORTOLA PKWY STE 1E-630",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926101743",
            "telephone_number": "949-597-2103",
            "fax_number": "949-597-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 JOURNEY STE 100",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "92656",
            "telephone_number": "949-716-4548",
            "fax_number": "949-271-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNAN",
        "first_name": "ANITA",
        "middle_name": "PADMANABHAN",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-11",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "294621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.