Kathleen M Beriau, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

41943 Issued in CA

Practice address

25231 Paseo de Alicia
Ste 110
Laguna Hills, CA 92653-4645

Phone

(949) 716-4889

Fax

(949) 716-4963

NPI assigned

Nov 21, 2014

Last updated

Jan 13, 2016By 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

Loma Linda University School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance Physical Therapy and Sports Lab IncGroup PAC ID 3173804317, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Performance Physical Therapy and Sports Lab Inc.

  • Specialist
  • Laguna Hills, CA
  • NPI 1023461191
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1720485543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25231 PASEO DE ALICIA",
            "address_2": "STE 110",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534645",
            "telephone_number": "949-716-4889",
            "fax_number": "949-716-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25231 PASEO DE ALICIA",
            "address_2": "STE 110",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534645",
            "telephone_number": "949-716-4889",
            "fax_number": "949-716-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERIAU",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-21",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "41943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Benowitz Koren, OTR
• Stephani A Berg, PT, DPT
• Devyn Love Berger
• Stephen Edward Berger, PH.D.
• Samantha Joyce Berglund
• Heidi Berman, PHD, MFCC
• Chloe Spencer Berry
• Nikolas Tyler Bersebach
• Marc Richard Bertone, MA JD
• Stephanie Betanzo

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.