Organization Active NPI

KRS-PT, Inc.

  • Physical Therapy Clinic/Center
  • Tustin, CA
National Provider Identifier
1598073850
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
29649 Issued in CA
Legal business name
KRS-PT, INC.
Practice address
12670 Stanton Ave
Tustin, CA 92782-1027
Phone
(714) 926-1913
NPI assigned
Sep 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Authorized official

Name
Mrs. Reha Chandrakant Shrikhande, MPT
Title
President
Phone
(714) 926-1913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 29649 CA Primary

Addresses

Primary practice location

12670 Stanton Ave
Tustin, CA 92782-1027

Mailing address

PO Box 28682
Anaheim, CA 92809-0156
Phone (714) 926-1913

National Provider Directory

National Provider Directory

Locations

751 S Weir Canyon Rd
#157241
Anaheim, CA 92808
Phone (949) 297-6160

8018 E Santa Ana Canyon Rd
Ste 100
Anaheim, CA 92808

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1598073850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28682",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928090156",
            "telephone_number": "714-926-1913",
            "fax_number": "866-903-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12670 STANTON AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927821027",
            "telephone_number": "714-926-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRS-PT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "SHRIKHANDE",
        "authorized_official_first_name": "REHA",
        "authorized_official_middle_name": "CHANDRAKANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-926-1913",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "29649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.