Active NPI
Kathleen Ann Skvarna, DPT
- Physical Therapist
- Oceanside, CA
National Provider Identifier
1235760901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 293976
- Practice address
- 3633 Vista Way Ste 101
Oceanside, CA 92056-4568 - Phone
- (760) 729-7298
- NPI assigned
- Jan 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 293976 | CA | Primary |
Addresses
Primary practice location
3633 Vista Way Ste 101
Oceanside, CA 92056-4568
Mailing address
507 S Ditmar St
Oceanside, CA 92054-4030
Phone (909) 373-7233
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.northcoastpt.com/locations | Health Information Exchange (HIE) | |
| Other URL | https://www.northcoastpt.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3633 Vista Way
Suite 101
Oceanside, CA 92056-4568
Phone (760) 729-7298
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 293976 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Coast Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
Locations
2704 Gateway Rd
Carlsbad, CA 92009
Phone (760) 729-7298
3633 Vista Way
Ste 101
Oceanside, CA 92056
Phone (760) 729-7298
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.
-
- Physical Therapist
- Oceanside, CA
- NPI 1689738627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580774400000",
"number": "1235760901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 S DITMAR ST",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920544030",
"telephone_number": "909-373-7233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3633 VISTA WAY STE 101",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564568",
"telephone_number": "760-729-7298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKVARNA",
"first_name": "KATHLEEN",
"middle_name": "ANN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-30",
"last_updated": "2020-02-04",
"certification_date": "2020-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "293976",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.northcoastpt.com/locations",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3633 Vista Way Ste 101",
"city": "Oceanside",
"state": "CA",
"country_code": "US",
"postal_code": "920564568",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.northcoastpt.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3633 Vista Way Ste 101",
"city": "Oceanside",
"state": "CA",
"country_code": "US",
"postal_code": "920564568",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.