Individual provider Active NPI

Kristine C Vroom, M.S., P.T.

  • Physical Therapist
  • Laguna Niguel, CA
National Provider Identifier
1699921791
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 14109 Issued in CA
Practice address
31271 Niguel Rd Ste J
Laguna Niguel, CA 92677-4135
Phone
(949) 443-5442
Fax
(949) 443-5463
NPI assigned
Aug 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 14109 CA Primary

Addresses

Primary practice location

31271 Niguel Rd Ste J
Laguna Niguel, CA 92677-4135

Mailing address

2 Minori
Laguna Niguel, CA 92677-9046
Phone (949) 495-9031

Other practice location 1

2 Minori
Laguna Niguel, CA 92677-9046
Phone (949) 495-9031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT 14109CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah Weinstein Physical Therapy Physical Therapist CurrentSince Jan 26, 2022 Accepting new patients

Locations

31271 Niguel Rd
Ste J
Laguna Niguel, CA 92677
Phone (949) 370-4061

Organizations & group practices 1

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": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1699921791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MINORI",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926779046",
            "telephone_number": "949-495-9031",
            "fax_number": "949-495-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31271 NIGUEL RD STE J",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774135",
            "telephone_number": "949-443-5442",
            "fax_number": "949-443-5463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Minori",
            "address_purpose": "LOCATION",
            "city": "Laguna Niguel",
            "state": "CA",
            "postal_code": "926779046",
            "country_code": "US",
            "telephone_number": "949-495-9031",
            "fax_number": "949-495-9031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VROOM",
        "first_name": "KRISTINE",
        "middle_name": "C",
        "credential": "M.S., P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-08",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 14109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.