Kristiane Eli Nygaard, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

21439 Issued in CA

Practice address

159 Parrott St
San Leandro, CA 94577-4813

Phone

(510) 858-0771

Fax

(510) 201-2503

NPI assigned

Aug 7, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kristiane Eli Cannon Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oasis Physical Therapy and Wellness PCGroup PAC ID 3072937358, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Oasis Physical Therapy and Wellness P.C.

  • Physical Therapist
  • San Ramon, CA
  • NPI 1891355541
  Medicare reassignment Care Compare group NPD
• Sutter East Bay Medical Foundation

  • Family Medicine Physician
  • Orinda, CA
  • NPI 1871538769
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1275880585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1568 WAYNE AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945772531",
            "telephone_number": "510-692-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 PARROTT ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774813",
            "telephone_number": "510-858-0771",
            "fax_number": "510-201-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYGAARD",
        "first_name": "KRISTIANE",
        "middle_name": "ELI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "21439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIANE",
            "last_name": "CANNON",
            "middle_name": "ELI",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nurturing Mind, Body & Spirit, a Licensed Clinical Social Worker Corp
• Nurturing Nookie LLC
• Rachel Erin Nuzman
• Dawn Charisse Nwamuo, MD
• Chizoba Raluchukwu Nwosu, M.D.
• Meghan O'Day
• Matthew Jason O'Leary, MSW
• Susanne Renee O'Leary, M.S.
• April O'Neal, LVN
• Elizabeth O'Reilly

• Physical Therapist in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.

Verify at the official NPI Registry.