Active NPI
Katherine Anne Sacha
- Physical Therapist
- La Canada Flintridge, CA
National Provider Identifier
1710607478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 302657
- Practice address
- 440 Foothill Blvd
La Canada Flintridge, CA 91011-3503 - Phone
- (818) 369-7620
- NPI assigned
- Aug 31, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 302657 | CA | Primary |
Addresses
Primary practice location
440 Foothill Blvd
La Canada Flintridge, CA 91011-3503
Mailing address
2761 Cedar Wood PL
Thousand Oaks, CA 91362-1241
Phone (805) 338-8892
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 302657 | Medicaid | CA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302657 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1710607478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2761 CEDAR WOOD PL",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913621241",
"telephone_number": "805-338-8892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 FOOTHILL BLVD",
"city": "LA CANADA FLINTRIDGE",
"state": "CA",
"postal_code": "910113503",
"telephone_number": "818-369-7620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACHA",
"first_name": "KATHERINE",
"middle_name": "ANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-31",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "302657",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "302657",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in La Canada Flintridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.