Gregory Kaganovsky, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

305176 Issued in CA

Practice address

450 Rosewood Ave Ste 105
Camarillo, CA 93010-5914

Phone

(805) 654-8127

Fax

(805) 654-8149

NPI assigned

Nov 16, 2023

Last updated

Oct 3, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MDRS Spine and Sport IncGroup PAC ID 3274446687, 181 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• MDRS Spine & Sport, Inc

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1952394603

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Blayne Robinson Liparoto

  dba dba ADVANTAGE PHYSICAL THERAPY

  • Physical Therapy Clinic/Center
  • Ventura, CA
  • NPI 1205878865

  Physical Therapist

  Medicare reassignment NPD
• MDRS Spine & Sport, Inc

  • Physical Therapist
  • Temecula, CA
  • NPI 1689824203
  NPD
• Bay Area Spine & Sport, Inc

  dba Santa Rosa Spine & Sport

  • Physical Therapist
  • Santa Rosa, CA
  • NPI 1316930076
  NPD (past)

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1417722737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 ROSEWOOD AVE STE 105",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105914",
            "telephone_number": "805-654-8127",
            "fax_number": "805-654-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 ROSEWOOD AVE STE 105",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105914",
            "telephone_number": "805-654-8127",
            "fax_number": "805-654-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGANOVSKY",
        "first_name": "GREGORY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-16",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Tran Nguyen MD Inc
• Allison Junod, SP/L
• Candice Renee Justus
• K and E Therapy
• James Alexander Kadin, M.D.
• Kaiser Foundation Health Plan Inc
• Mary Kaldas
• Kevin Kane
• Euni Kristina Kang, M.D.
• Nikisha Kanji

• Physical Therapist in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.