Individual provider Active NPI

Cydney Catherine Cady, PTA

  • Physical Therapy Assistant
  • Lake Forest, CA
National Provider Identifier
1740987445
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
51973 Issued in CA
Practice address
22821 Lake Forest Dr Ste 115
Lake Forest, CA 92630-1606
Phone
(949) 716-5050
NPI assigned
Feb 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 51973 CA Primary

Addresses

Primary practice location

22821 Lake Forest Dr Ste 115
Lake Forest, CA 92630-1606

Mailing address

2708 Sierra Bella Dr
Corona, CA 92882-1117
Phone (909) 538-3705

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physical Therapy Inc Current Accepting new patients

Locations

22821 Lake Forest Dr
Ste 115
Lake Forest, CA 92630
Phone (714) 948-0905

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": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1740987445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 SIERRA BELLA DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928821117",
            "telephone_number": "909-538-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22821 LAKE FOREST DR STE 115",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301606",
            "telephone_number": "949-716-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADY",
        "first_name": "CYDNEY",
        "middle_name": "CATHERINE",
        "name_prefix": "Miss",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "51973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.