Individual provider Active NPI

Susan Pratt, MPT

  • Physical Therapy Clinic/Center
  • Laguna Hills, CA
National Provider Identifier
1346235900
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT25877 Issued in CA
Practice address
24953 Paseo de Valencia
# 13B
Laguna Hills, CA 92653-4342
Phone
(949) 830-6220
Fax
(949) 830-6227
NPI assigned
Sep 20, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/CenterGroup: 193400000X SINGLE SPECIALTY GROUP 261QP2000X PT25877 CA Primary

Addresses

Primary practice location

24953 Paseo de Valencia
# 13B
Laguna Hills, CA 92653-4342

Mailing address

25512 Rue Terrase
Laguna Niguel, CA 92677-4310
Phone (949) 388-4243

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070314000620 CA Practitioner - Physical Therapist in Private Practice 8022111855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25431 Cabot Rd
Suite 101
Laguna Hills, CA 92653-5526
Phone (949) 830-6220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Laguna Hills Physical Therapy Inc Single Specialty CurrentSince Nov 1, 2006 Accepting new patients

Locations

25431 Cabot Rd
Ste 101
Laguna Hills, CA 92653
Phone (949) 830-6220

24953 Paseo de Valencia
Ste 13B
Laguna Hills, CA 92653
Phone (949) 830-6220

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1346235900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25512 RUE TERRASE",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774310",
            "telephone_number": "949-388-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24953 PASEO DE VALENCIA",
            "address_2": "# 13B",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534342",
            "telephone_number": "949-830-6220",
            "fax_number": "949-830-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "SUSAN",
        "name_prefix": "Miss",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT25877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.