Individual provider Active NPI

Paula Kristie Zupancic, MPT

  • Physical Therapist
  • Calabasas, CA
National Provider Identifier
1285963272
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29645 Issued in CA
Practice address
26560 Agoura Rd
# 110 - B
Calabasas, CA 91302-1926
Phone
(818) 880-1260
NPI assigned
Dec 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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 29645 CA Primary

Addresses

Primary practice location

26560 Agoura Rd
# 110 - B
Calabasas, CA 91302-1926

Mailing address

21423 Angela Yvonne Ave
Santa Clarita, CA 91350-3708

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
29645CAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1285963272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21423 ANGELA YVONNE AVE",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913503708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26560 AGOURA RD",
            "address_2": "# 110 - B",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021926",
            "telephone_number": "818-880-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUPANCIC",
        "first_name": "PAULA",
        "middle_name": "KRISTIE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-22",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "29645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.