Active NPI
Kristina Leean Mayer
- Physical Therapist
- Torrance, CA
National Provider Identifier
1487714846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT27024
- Practice address
- 23560 Crenshaw Blvd
103
Torrance, CA 90505-5233 - Phone
- (310) 784-2366
- Fax
- (310) 517-0889
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT27024 | CA | Primary |
Addresses
Primary practice location
23560 Crenshaw Blvd
103
Torrance, CA 90505-5233
Mailing address
23560 Crenshaw Blvd
103
Torrance, CA 90505-5233
Phone (310) 784-2366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ02708Z | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
520 N Prospect Ave
Suite 100
Redondo Beach, CA 90277-3033
Phone (310) 376-9222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT27024 | CA | MD | Physical Therapist |
| 27024 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redondo Orthopedic Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Torrance Memorial Medical Center | Past | Accepting new patients | |
| South Bay Orthopaedic Specialists Medical Center a Medical Partnership | Past | Accepting new patients | |
| Blake Physical Therapy, PC | Physical Therapist | Past | Accepting new patients |
| Advanced Integrative Medical Center, Inc. | Past | Accepting new patients | |
| Torrance Health Association Inc | Past | Accepting new patients |
Locations
31228 Palos Verdes Dr W
Rch Palos Vrd, CA 90275
Phone (310) 544-7325
520 N Prospect Ave
Ste 100
Redondo Beach, CA 90277
Phone (310) 376-9222
Organizations & group practices 6
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 Therapy Clinic/Center
- Torrance, CA
- NPI 1578592424
Physical Therapist
-
- General Practice Physician
- Redondo Beach, CA
- NPI 1114571718
-
- Orthopedic Physical Therapist
- Santa Monica, CA
- NPI 1750350476
-
- Orthopaedic Surgery Physician
- Torrance, CA
- NPI 1396708988
-
- Family Medicine Physician
- Torrance, CA
- NPI 1083903124
-
- Skilled Nursing Facility
- Torrance, CA
- NPI 1740268713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487714846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23560 CRENSHAW BLVD",
"address_2": "103",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905055233",
"telephone_number": "310-784-2366",
"fax_number": "310-517-0889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23560 CRENSHAW BLVD",
"address_2": "103",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905055233",
"telephone_number": "310-784-2366",
"fax_number": "310-517-0889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYER",
"first_name": "KRISTINA",
"middle_name": "LEEAN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT27024",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ02708Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.