Lauren Kordonsky, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

300983 Issued in CA

Practice address

1821 Wilshire Blvd Ste 400
Santa Monica, CA 90403-5679

Phone

(310) 828-2188

Fax

(310) 829-1379

NPI assigned

Oct 8, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Montage Surgical Group

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Monterey, CA
  • NPI 1629864236
  NPD (past)

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1790447555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 WILSHIRE BLVD STE 400",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035679",
            "telephone_number": "310-828-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 WILSHIRE BLVD STE 400",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035679",
            "telephone_number": "310-828-2188",
            "fax_number": "310-829-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORDONSKY",
        "first_name": "LAUREN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suchanee Kongsamoer, LMT
• Michael Kooby, D.C.
• Scott S Kopoian, PH.D.
• Miriam Kopstein
• Djamal Kord, L.AC.
• Alissa Koritsoglou
• Tanya Kormeili, MD
• Nurit Korn, MD
• Aleksey Korolyov
• Akhil Korrapati, DPM

• Physical Therapist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.