Kirstyn Namba

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

299607 Issued in CA

Practice address

24361 El Toro Rd Ste 140
Laguna Woods, CA 92637-8898

Phone

(949) 540-7560

NPI assigned

Dec 28, 2020

Last updated

Dec 28, 2020By the provider in NPPES

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richards Physical Therapy IncGroup PAC ID 8820007156, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Richards Physical Therapy Inc

  dba DBA Professional Physical Therapy

  • Physical Therapist
  • Mission Viejo, CA
  • NPI 1528065588
  Medicare reassignment Care Compare group NPD
• Richards Physical Therapy Inc

  dba Professional Physical Therapy

  • Orthotic Fitter
  • Mission Viejo, CA
  • NPI 1285820183

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1639766470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20702 EL TORO RD APT 417",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24361 EL TORO RD STE 140",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926378898",
            "telephone_number": "949-540-7560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18682 Beach Blvd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926482094",
            "country_code": "US",
            "telephone_number": "714-963-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAMBA",
        "first_name": "KIRSTYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lonnie J Moskow, M.D.
• Talar Taha Moy, FNP
• James E Mullen, M.D.
• Sherrinn Mullen
• Karla Mussly, OTA/L
• Brandon Napoles, OT-C
• Nathan Rudometkin MD, Inc (Laguna Retina)
• Susan J Nathan, PH.D.
• Nazee Farsi MD Apc
• Scott R Nelson, D.O., FACEP

• Physical Therapist in Laguna Woods, CA
• Providers in Laguna Woods, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.