Kaitlyn Driscoll, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT293399 Issued in CA

Practice address

27575 Paseo Castile
San Juan Capistrano, CA 92675-5321

Phone

(209) 604-6188

Fax

(209) 604-6188

NPI assigned

Sep 25, 2017

Last updated

Sep 10, 2021By 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

Other names 1

• Kaitlyn Brayton Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Life Physical Therapy Services PCGroup PAC ID 7214207125, 94 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.

• New Life Physical Therapy Services, PC

  • Physical Therapist
  • Beverly Hills, CA
  • NPI 1285160788
  Medicare reassignment Care Compare group NPD
• Trellis Physical Therapy a Professional Rehab Group Inc.

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1730245838
  NPD (past)

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1720597560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2552 MARRON RD APT 303",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920108397",
            "telephone_number": "209-604-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27575 PASEO CASTILE",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926755321",
            "telephone_number": "209-604-6188",
            "fax_number": "209-604-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRISCOLL",
        "first_name": "KAITLYN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT293399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "BRAYTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dr Haygoush Kalinian
• Dr Maronette William DDS Inc
• Dr. Mahsa Safavi M.D. Medical Corporation
• Dr. Mark Sayed D.M.D. Inc
• Dr. Shalini Shah Dental Corp. (Del Obispo Dental Smiles)
• Joseph Raymond Droke, L.AC
• Carolyn Du
• Sanjay Dube, MD
• Tessa Durbano, LCSW
• Dva Renal Healthcare Inc (San Juan Capistrano South Dialysis)

• Physical Therapist in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.