Mary Alexandra Kalayta, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT33655 Issued in CA

Practice address

454 Forest Ave
Palo Alto, CA 94301-2608

Phone

(650) 331-3700

Fax

(650) 331-3730

NPI assigned

Jun 30, 2014

Last updated

Jun 30, 2014By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Agile Physical Therapy IncGroup PAC ID 2163311556, 48 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.

• Agile Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Palo Alto, CA
  • NPI 1659445443
  Medicare reassignment Care Compare group NPD
• Barman & Sargent Inc

  dba Diablo West Sports Medicine

  • Sports Physical Therapist
  • Menlo Park, CA
  • NPI 1225156524
  Medicare reassignment NPD
• Goodman Physical Therapy

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1205017514
  NPD (past)
• Lisa Green Physical Therapy, PC

  • Orthopedic Physical Therapist
  • Portola Valley, CA
  • NPI 1376246470

  Sports

  NPD (past)
• Pacific Therx

  • Physical Therapy Clinic/Center
  • Portola Valley, CA
  • NPI 1508315300
  NPD (past)

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1487069399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 FOREST AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012608",
            "telephone_number": "650-331-3700",
            "fax_number": "650-331-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 FOREST AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012608",
            "telephone_number": "650-331-3700",
            "fax_number": "650-331-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALAYTA",
        "first_name": "MARY",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "PT33655",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT33655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hussam Laith Nafa Kaka, MD
• Janine Elizabeth Kakishita, MS, CGC
• Bina Wasunga Kakusa, MD
• Lois A Kalafus
• Venus Setareh Kalami, RDN
• Christina Amalia Kalemkeris, NP
• Amita Kalra, M.D.
• Tonya Kaltenbach, MD
• Rathi Roopa Kalyanaraman, BCBA
• Brittni Nicole Miya Kam, MD

• Orthopedic Physical Therapist in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.