Individual provider Active NPI

Karen Renee Saggese, PTA LICENSE

  • Physical Therapy Assistant
  • San Diego, CA
National Provider Identifier
1780992875
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
Practice address
12170 Coldwater CT
San Diego, CA 92128-4707
Phone
(858) 673-5437
Fax
(858) 673-5434
NPI assigned
Sep 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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 Primary

Addresses

Primary practice location

12170 Coldwater CT
San Diego, CA 92128-4707

Mailing address

12170 Coldwater CT
San Diego, CA 92128-4707
Phone (858) 675-9844

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

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1780992875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12170 COLDWATER CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284707",
            "telephone_number": "858-675-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12170 COLDWATER CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284707",
            "telephone_number": "858-673-5437",
            "fax_number": "858-673-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGGESE",
        "first_name": "KAREN",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "PTA LICENSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-22",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.