Individual provider Active NPI

Rodrigo Castaniaga, PT

  • Physical Therapist
  • Northridge, CA
National Provider Identifier
1407091606
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
35128 Issued in CA
Practice address
11260 Wilbur St
101
Northridge, CA 91326-2449
Phone
(818) 832-5656
Fax
(818) 832-5654
NPI assigned
Dec 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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 35128 CA Primary

Addresses

Primary practice location

11260 Wilbur St
101
Northridge, CA 91326-2449

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Other identifiers 1

IdentifierTypeStateIssuer
35128OtherCAPT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090605000145 CA Practitioner - Physical Therapist in Private Practice 1254481658 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SG Mikita RPT a Physical Therapy CorporationGroup PAC ID 3971535881, 2 clinicians
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

Practice addresses (Care Compare)

10667 White Oak Ave
Granada Hills, CA 91344-5931
Phone (818) 368-9484

16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35128CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist CurrentSince Mar 29, 2021 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Current Accepting new patients
Navy Physical Therapy P.C. Physical Therapist CurrentSince Mar 1, 2024 Accepting new patients
Reischl Physical Therapy, Inc. Physical Therapist CurrentSince Mar 1, 2024 Accepting new patients
SG Mikita RPT a Physical Therapy Corporation Physical Therapist CurrentSince Nov 11, 2023 Accepting new patients
California Rehab & Sports Therapy CurrentSince Mar 29, 2021 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Jan 13, 2020 Accepting new patients
Physical Therapy Specialists Physical Therapist Past Accepting new patients

Locations

415 Carmen Dr
Camarillo, CA 93010
Phone (805) 322-9083

10667 White Oak Ave
Granada Hills, CA 91344
Phone (818) 368-9484

10515 Balboa Blvd
Ste 140
Granada Hills, CA 91344
Phone (818) 349-0339

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

11260 Wilbur Ave
Ste 101
Porter Ranch, CA 91326
Phone (818) 832-5656

3292 E Willow St
Signal Hill, CA 90755
Phone (562) 427-2225

19000 Hawthorne Blvd
Ste 300
Torrance, CA 90503
Phone (310) 793-1800

1881 W Traverse Pkwy
Ste E
Lehi, UT 84048
Phone (801) 900-3174

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1407091606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11260 WILBUR ST",
            "address_2": "101",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913262449",
            "telephone_number": "818-832-5656",
            "fax_number": "818-832-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANIAGA",
        "first_name": "RODRIGO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-03",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "35128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "35128",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.