Individual provider Active NPI

Krista Marie Consiglio-Lahti, PT

  • Physical Therapist
  • Chino Hills, CA
National Provider Identifier
1376877803
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
36071 Issued in CA
Practice address
15325 Fairfield Ranch Rd Ste 150
Chino Hills, CA 91709-8842
Phone
(099) 557-1668
Fax
(909) 557-1677
NPI assigned
Sep 30, 2009
Last updated
Mar 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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 36071 CA Primary

Addresses

Primary practice location

15325 Fairfield Ranch Rd Ste 150
Chino Hills, CA 91709-8842

Mailing address

1801 Orange Tree LN Ste 200
Redlands, CA 92374-4587
Phone (909) 557-1600

Other names 1

  • Krista M. Castelan Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091216000356 CA Practitioner - Physical Therapist in Private Practice 5597805937 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15325 Fairfield Ranch Rd
Suite 150
Chino Hills, CA 91709-8842
Phone (909) 557-1668

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36071CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
San Bernardino Medical Orthopaedic Group, Inc. CurrentSince Mar 4, 2019 Accepting new patients
San Bernardino Medical Orthopaedic Group, Inc. Physical Therapy CurrentSince Mar 4, 2019 Accepting new patients
Water and Sports Physical Therapy, Inc Physical Therapist CurrentSince Mar 18, 2016 Accepting new patients
Hooman M Javanmardi, Physical Therapist, a Professional Corporation Physical Therapist Past Accepting new patients
Water and Sports Physical Therapy Past Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients
Hamid Mir MD Inc Physical Therapy Past Accepting new patients

Locations

15325 Fairfield Ranch Rd
Ste 150
Chino Hills, CA 91709
Phone (909) 557-1668

1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810

8805 Haven Ave
Ste 100
Rancho Cucamonga, CA 91730
Phone (909) 912-1750

8805 Haven Ave
Ste 110
Rancho Cucamonga, CA 91730
Phone (909) 912-1725

1801 Orange Tree Ln
Ste 200
Redlands, CA 92374
Phone (909) 557-1607

1901 W Lugonia Ave
Ste 310
Redlands, CA 92374
Phone (909) 793-2964

3639 Midway Dr
#B286
San Diego, CA 92110

501 W Broadway
San Diego, CA 92101
Phone (619) 237-9027

9972 Scripps Ranch Blvd
San Diego, CA 92131
Phone (858) 633-8036

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2241/brand/1/csg/1/fhir/r4

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1376877803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 ORANGE TREE LN STE 200",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744587",
            "telephone_number": "909-557-1600",
            "fax_number": "909-557-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15325 FAIRFIELD RANCH RD STE 150",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917098842",
            "telephone_number": "099-557-1668",
            "fax_number": "909-557-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSIGLIO-LAHTI",
        "first_name": "KRISTA",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-30",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "CASTELAN",
            "middle_name": "M.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.