Individual provider Active NPI

Amy Nagele

  • Physical Therapist
  • Norwalk, CA
National Provider Identifier
1548574270
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25243 Issued in CA
Practice address
13330 Bloomfield Ave Ste 101
Norwalk, CA 90650-3259
Phone
(562) 484-3860
NPI assigned
Aug 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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 25243 CA Primary
Pediatric Physical Therapist 2251P0200X 25243 CA

Addresses

Primary practice location

13330 Bloomfield Ave Ste 101
Norwalk, CA 90650-3259

Mailing address

13330 Bloomfield Ave Ste 101
Norwalk, CA 90650-3259

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140304001115 CA Practitioner - Physical Therapist in Private Practice 8325278799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State-of-the-Art Physical Therapy, Inc.Group PAC ID 5496948952, 10 clinicians

Practice addresses (Care Compare)

2492 Walnut Ave
Suite 140
Tustin, CA 92780-6953
Phone (714) 544-2188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
State-of-the-Art Physical Therapy, Inc. Physical Therapist CurrentSince Nov 6, 2017 Accepting new patients
Recovercare Therapy Group, Inc. Physical Therapist Past Accepting new patients
Active Sports Rehab Physical Therapy, Inc. Physical Therapist PastSince May 16, 2021 Accepting new patients

Locations

2492 Walnut Ave
Ste 140
Tustin, CA 92780
Phone (714) 544-2188

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1548574270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13330 BLOOMFIELD AVE STE 101",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13330 BLOOMFIELD AVE STE 101",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503259",
            "telephone_number": "562-484-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGELE",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-05",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "25243",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "25243",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.