Individual provider Active NPI

Kristen Carol Pitts, PT

  • Specialist
  • Irvine, CA
National Provider Identifier
1407013162
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
18655 Issued in CA
Practice address
15701 Rockfield Blvd
Irvine, CA 92618-2801
Phone
(949) 457-9900
Fax
(949) 457-9922
NPI assigned
May 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 18655 CA Primary

Addresses

Primary practice location

15701 Rockfield Blvd
Irvine, CA 92618-2801

Mailing address

15701 Rockfield Blvd
Irvine, CA 92618-2801
Phone (949) 457-9900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220601001800 CA Practitioner - Physical Therapist in Private Practice 6103204268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southland Physical Therapy IncGroup PAC ID 9234297771, 27 clinicians

Practice addresses (Care Compare)

4482 Barranca Pkwy
Irvine, CA 92604-4706
Phone (949) 679-3337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Physical Therapy, Inc. CurrentSince Feb 19, 2022 Accepting new patients

Locations

2755 Bristol St
Ste 130
Costa Mesa, CA 92626
Phone (714) 966-2950

4482 Barranca Pkwy
Ste 195
Irvine, CA 92604
Phone (949) 679-3337

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": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1407013162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15701 ROCKFIELD BLVD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182801",
            "telephone_number": "949-457-9900",
            "fax_number": "949-457-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15701 ROCKFIELD BLVD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182801",
            "telephone_number": "949-457-9900",
            "fax_number": "949-457-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTS",
        "first_name": "KRISTEN",
        "middle_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "18655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.