Individual provider Active NPI

Denese Dawn Kaufeldt Montano, P.T.

  • Specialist
  • Laguna Hills, CA
National Provider Identifier
1528274867
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT18559 Issued in CA
Practice address
22995 Mill Creek Dr # a
Laguna Hills, CA 92653-1215
Phone
(949) 707-5555
Fax
(949) 707-5706
NPI assigned
May 15, 2007
Last updated
Jun 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT18559 CA Primary

Addresses

Primary practice location

22995 Mill Creek Dr # a
Laguna Hills, CA 92653-1215

Mailing address

11656 Butterfield St
Loma Linda, CA 92354-3956
Phone (760) 835-8455

Other names 1

  • Dr. Denese Dawn Kaufeldt Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231207002702 CA Practitioner - Physical Therapist in Private Practice 5496104085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sand Coast Rehab Physical Therapy IncGroup PAC ID 7315352911, 131 clinicians

Practice addresses (Care Compare)

40 Camino Alto
Mill Valley, CA 94941-2956
Phone (732) 886-6202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sand Coast Rehab Physical Therapy Inc CurrentSince Oct 23, 2023 Accepting new patients
Rehab Alliance PastSince Jan 1, 2002 Accepting new patients

Locations

441 E Carson St
Ste K
Carson, CA 90745
Phone (732) 375-0420

22995 Mill Creek Dr
Ste A
Laguna Hills, CA 92653

3558 Round Barn Blvd
Ste 600
Santa Rosa, CA 95403

400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1528274867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11656 BUTTERFIELD ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543956",
            "telephone_number": "760-835-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22995 MILL CREEK DR # A",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531215",
            "telephone_number": "949-707-5555",
            "fax_number": "949-707-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFELDT MONTANO",
        "first_name": "DENESE",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT18559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENESE",
            "last_name": "KAUFELDT",
            "middle_name": "DAWN",
            "prefix": "DR.",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.