Olita Lace, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

297216 Issued in CA

Practice address

30212 Tomas Ste 120
Rancho Santa Margarita, CA 92688-2173

Phone

(949) 709-8770

Fax

(949) 709-4064

NPI assigned

Aug 29, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hands on Physical Therapy, IncGroup PAC ID 3577548957, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hands on Physical Therapy, Inc

  • Orthopedic Physical Therapist
  • Rancho Santa Margarita, CA
  • NPI 1811037773
  Medicare reassignment Care Compare group NPD
• Newport Physical Medicine and Rehabilitation Inc.

  • Spinal Cord Injury Medicine Physician
  • Irvine, CA
  • NPI 1245775360
  Medicare reassignment NPD

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1548818883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30212 TOMAS STE 120",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882173",
            "telephone_number": "949-709-8770",
            "fax_number": "949-709-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30212 TOMAS STE 120",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882173",
            "telephone_number": "949-709-8770",
            "fax_number": "949-709-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACE",
        "first_name": "OLITA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "297216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Kollenda, OTR/L
• Thomas Laroy Kolt, PA-C
• Kontar Enterprises Inc
• Kundula Medical Corporation
• Sridhar Kundula, M.D.
• Allyson Lynn Lake, COUNSELOR
• Jean Elizabeth Langmore, PH.D.
• Amir Larijani, D.D.S
• Colton Larson, DPT
• Linda Jean Larson

• Physical Therapist in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.