Individual provider Active NPI

Teresa Elisenda Aagaard, P.T.A.

  • Physical Therapy Assistant
  • Camarillo, CA
National Provider Identifier
1386924710
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
9593 Issued in CA
Practice address
6000 Santa Rosa Rd
Camarillo, CA 93012-7101
Phone
(805) 388-8086
NPI assigned
Aug 16, 2011
Last updated
Aug 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 9593 CA Primary

Addresses

Primary practice location

6000 Santa Rosa Rd
Camarillo, CA 93012-7101

Mailing address

6334 Corte Lucinda
Camarillo, CA 93012-8199
Phone (727) 808-3585

Other identifiers 1

IdentifierTypeStateIssuer
9593OtherCACALIFORNIA PHYSICAL THERAPY BOARD

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
9593CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313452800000",
    "number": "1386924710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6334 CORTE LUCINDA",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128199",
            "telephone_number": "727-808-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 SANTA ROSA RD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930127101",
            "telephone_number": "805-388-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AAGAARD",
        "first_name": "TERESA",
        "middle_name": "ELISENDA",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "9593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA PHYSICAL THERAPY BOARD",
            "identifier": "9593",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.