Katrina Lynn Zappala, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT37967 Issued in CA

Practice address

28924 S Western Ave
Suite 101
Rancho Palos Verdes, CA 90275-0885

Phone

(310) 548-0104

Fax

(310) 548-0559

NPI assigned

Jul 5, 2011

Last updated

May 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katrina Lynn Herskedal Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Prosport Physical Therapy Professionals Inc

  • Physical Therapy Clinic/Center
  • Costa Mesa, CA
  • NPI 1073170437

  Physical Therapist

  NPD (past)
• Prosport Physical Therapy Professionals Inc

  dba Palos Verdes Physical Therapy

  • Physical Therapist
  • Rancho Palos Verdes, CA
  • NPI 1487648341
  NPD (past)

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1417244922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28924 S WESTERN AVE",
            "address_2": "SUITE 101",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750885",
            "telephone_number": "310-548-0104",
            "fax_number": "310-548-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28924 S WESTERN AVE",
            "address_2": "SUITE 101",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902750885",
            "telephone_number": "310-548-0104",
            "fax_number": "310-548-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAPPALA",
        "first_name": "KATRINA",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT37967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "HERSKEDAL",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chia-Chen Yeh, D.D.S, M.S.D.
• Karen Xiayang Li Yi, DDS
• Zaker Vazin Pain and Wellness Chiropractic Inc
• Samuel Michael Zaki, DDS
• Ben Zandpour, MD
• Keyvan Zavarei, M.D.

• Physical Therapist in Rancho Palos Verdes, CA
• Providers in Rancho Palos Verdes, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.