Individual provider Active NPI

Lorelei M Kincaid

  • Physical Therapist
  • Santa Ana, CA
National Provider Identifier
1265637599
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26701 Issued in CA
Practice address
515 Cabrillo Park Dr Ste 100
Santa Ana, CA 92701-5016
Phone
(714) 571-0141
Fax
(714) 543-4787
NPI assigned
Jun 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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 26701 CA Primary

Addresses

Primary practice location

515 Cabrillo Park Dr Ste 100
Santa Ana, CA 92701-5016

Mailing address

24 Hammond Ste C
Irvine, CA 92618-1680
Phone (949) 770-6022

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heeyeon Incorporated Physical Therapist CurrentSince Feb 15, 2016 Accepting new patients
C and a Health Services Past Accepting new patients
P and a Health Services Physical Therapist PastSince Mar 1, 2009 Accepting new patients
PT Plus Rehab, Inc Physical Therapist PastSince Nov 5, 2012 Accepting new patients
Mesisca Physical Therapy Inc Physical Therapist PastSince Jul 28, 2003 Accepting new patients
JM Physical Therapy Inc Physical Therapist Past Accepting new patients

Locations

1001 S Brookhurst Rd
Ste 101
Fullerton, CA 92833
Phone (714) 879-9968

Interoperability endpoints

  • Direct secure messaging: lorelei.kincaid@1111651445178372.direct.elationemr.com

Organizations & group practices 6

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": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1265637599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HAMMOND STE C",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926181680",
            "telephone_number": "949-770-6022",
            "fax_number": "949-770-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 CABRILLO PARK DR STE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015016",
            "telephone_number": "714-571-0141",
            "fax_number": "714-543-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCAID",
        "first_name": "LORELEI",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "26701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.