Individual provider Active NPI

Victoria Anne Kuberka, PT, DPT

  • Physical Therapist
  • Santa Barbara, CA
National Provider Identifier
1275008583
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT295502 Issued in CA
Practice address
3443 State St
Santa Barbara, CA 93105-2662
Phone
(805) 682-7777
NPI assigned
Oct 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 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 PT295502 CA Primary

Addresses

Primary practice location

3443 State St
Santa Barbara, CA 93105-2662

Mailing address

414 Vaquerito PL
Santa Barbara, CA 93111-1934

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230801004360 CO Practitioner - Physical Therapist in Private Practice 7911368303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pelvic Therapy Specialists, PCGroup PAC ID 2365524345, 6 clinicians

Practice addresses (Care Compare)

4770 Baseline Rd
Suite 120
Boulder, CO 80303-2667
Phone (303) 601-7495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT295502CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pelvic Therapy Specialists, PC Physical Therapist CurrentSince Jul 5, 2023 Accepting new patients

Locations

4770 Baseline Rd
Ste 120
Boulder, CO 80303
Phone (303) 529-7664

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": "1539302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539302400000",
    "number": "1275008583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 VAQUERITO PL",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931111934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 STATE ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931052662",
            "telephone_number": "805-682-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBERKA",
        "first_name": "VICTORIA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-12",
        "last_updated": "2018-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT295502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.