Individual provider Active NPI

Rachel Elizabeth Nygren, DPT

  • Physical Therapist
  • Oxnard, CA
National Provider Identifier
1780831768
Registry record updated Oct 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34766 Issued in CA
Practice address
2221 Wankel Way
Oxnard, CA 93030-0192
Phone
(805) 988-0448
Fax
(805) 988-3070
NPI assigned
Aug 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT34766 CA Primary

Addresses

Primary practice location

2221 Wankel Way
Oxnard, CA 93030-0192

Mailing address

5720 Ralston St Ste 200
Ventura, CA 93003-7844
Phone (805) 804-4168

Other identifiers 1

IdentifierTypeStateIssuer
34766OtherCASTATE LICENSE

Other names 1

  • Rachel Mandich Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://venturaortho.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090105000555 CA Practitioner - Physical Therapist in Private Practice 0648333450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recooperation Physical Therapy IncGroup PAC ID 4981874096, 4 clinicians

Practice addresses (Care Compare)

3165 Old Conejo Rd
Newbury Park, CA 91320-2151
Phone (805) 277-2233

Merit-based Incentive Payment System (MIPS)

Final score
73.77 of 100Reported as group
Quality
31.85
Promoting interoperability
98
Improvement activities
40
Cost
82.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT34766CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Recooperation Physical Therapy Inc Physical Therapist CurrentSince Jul 8, 2024 Accepting new patients
Sterling Provider Services Inc. Physical Therapist CurrentSince Jun 22, 2013 Accepting new patients

Locations

3165 Old Conejo Rd
Newbury Park, CA 91320
Phone (805) 277-2233

2315 Kuehner Dr
Ste 115
Simi Valley, CA 93063
Phone (805) 823-8200

Organizations & group practices 2

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": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664582400000",
    "number": "1780831768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 RALSTON ST STE 200",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037844",
            "telephone_number": "805-804-4168",
            "fax_number": "805-830-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 WANKEL WAY",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930300192",
            "telephone_number": "805-988-0448",
            "fax_number": "805-988-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYGREN",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2022-10-01",
        "certification_date": "2022-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT34766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "34766",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://venturaortho.com/",
            "affiliation": "N",
            "address_1": "2221 Wankel Way",
            "city": "Oxnard",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930300192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "MANDICH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2022; 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.