Individual provider Active NPI

Kristoffer Ryan Magbitang, PTA

  • Physical Therapy Assistant
  • Delano, CA
National Provider Identifier
1750860672
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA9212 Issued in CA
Practice address
1509 Tokay St
Delano, CA 93215-3603
Phone
(661) 720-2100
NPI assigned
Aug 10, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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 PTA9212 CA Primary

Addresses

Primary practice location

1509 Tokay St
Delano, CA 93215-3603

Mailing address

2623 Primavera Dr
Delano, CA 93215-9297
Phone (661) 370-5998

Other names 1

  • Mr. Kristoffer Ryan Magbitang Professional name

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

State licenses

LicenseStateTypeSpecialty
PTA9212CAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1750860672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 PRIMAVERA DR",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932159297",
            "telephone_number": "661-370-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 TOKAY ST",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932153603",
            "telephone_number": "661-720-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGBITANG",
        "first_name": "KRISTOFFER",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "PTA9212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTOFFER",
            "last_name": "MAGBITANG",
            "middle_name": "RYAN",
            "prefix": "MR.",
            "credential": "PTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Delano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.