Individual provider Active NPI

Whitney Plaster, PT

  • Physical Therapist
  • Lake Forest, CA
National Provider Identifier
1487375150
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
302857 Issued in CA
Practice address
22821 Lake Forest Dr Ste 115
Lake Forest, CA 92630-1606
Phone
(949) 716-5050
NPI assigned
Sep 9, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Physical Therapy Inc 8 clinicians

Practice addresses (Care Compare)

22821 Lake Forest Dr
Suite 115
Lake Forest, CA 92630-1606
Phone (949) 716-5050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221010002691 CA Practitioner - Physical Therapist in Private Practice 1658757992 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
302857CAMDPhysical Therapist

Practice roles (5 of 6)

OrganizationSpecialtyStatusNew patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Nov 9, 2022 Accepting new patients
Integrated Clinix Physical Therapist CurrentSince Jun 10, 2023 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Nov 9, 2022 Accepting new patients
Premier Physical Therapy Inc Physical Therapist CurrentSince Oct 30, 2023 Accepting new patients
Choice Physical Therapy Inc PastSince Sep 1, 2022 Accepting new patients

Locations

450 Rosewood Ave
Ste 105
Camarillo, CA 93010
Phone (805) 389-4781

1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104

44240 Fremont Blvd
Ste 18
Fremont, CA 94538

14150 Culver Dr
Ste 103
Irvine, CA 92604
Phone (949) 262-9142

4000 Barranca Pkwy
Ste 160
Irvine, CA 92604

24422 Avenida de la Carlota
Ste 380
Laguna Hills, CA 92653

23101 Lake Center Dr
Ste 100
Lake Forest, CA 92630
Phone (949) 297-3704

26730 Towne Centre Dr
Ste 204
Lake Forest, CA 92610
Phone (949) 398-0488

22821 Lake Forest Dr
Ste 115
Lake Forest, CA 92630
Phone (714) 948-0905

26691 Plaza
Ste 201
Mission Viejo, CA 92691

1449 W Chapman Ave
Orange, CA 92868
Phone (657) 500-2440

319 E Palm Dr
Ste B
Placentia, CA 92870

9852 Business Park Dr
Ste A
Sacramento, CA 95827
Phone (916) 362-7962

655 Camino de los Mares
Ste 120
San Clemente, CA 92673
Phone (949) 484-4148

1801 Cleveland Ave
Ste B
Santa Rosa, CA 95401
Phone (707) 526-4180

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 302857 CA Primary
Physical Therapist 225100000X

Addresses

Primary practice location

22821 Lake Forest Dr Ste 115
Lake Forest, CA 92630-1606

Mailing address

1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (951) 335-9825

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1487375150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "951-335-9825",
            "fax_number": "951-335-9825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22821 LAKE FOREST DR STE 115",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301606",
            "telephone_number": "949-716-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLASTER",
        "first_name": "WHITNEY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-09",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302857",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.