Active NPI
Whitney Plaster, PT
- Physical Therapist
- Lake Forest, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 302857
- 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.
-
- Physical Therapist
- Foothill Ranch, CA
- NPI 1588985832
CA, Physical Therapist
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1952394603
CA, Physical Therapist
-
- Multi-Specialty Clinic/Center
- Cedar Hills, UT
- NPI 1659931384
CA, Physical Therapist
-
- Physical Therapist
- Temecula, CA
- NPI 1689824203
-
- Physical Therapy Clinic/Center
- Temecula, CA
- NPI 1770703266
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 302857 | CA | MD | Physical Therapist |
Practice roles (5 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MDRS Spine & Sport, Inc | Physical Therapist | Current | Accepting new patients |
| Integrated Clinix | Physical Therapist | Current | Accepting new patients |
| MDRS Spine & Sport, Inc | Physical Therapist | Current | Accepting new patients |
| Premier Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Choice Physical Therapy Inc | Past | 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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.