Active NPI
Lorraine S Macnaughton, PT
- Physical Therapist
- Granada Hills, CA
National Provider Identifier
1801013875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT12392
- Practice address
- 10605 Balboa Blvd Ste 330
Granada Hills, CA 91344-6358 - Phone
- (818) 832-7200
- Fax
- (818) 832-7249
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT12392 | CA | Primary |
Addresses
Primary practice location
10605 Balboa Blvd Ste 330
Granada Hills, CA 91344-6358
Mailing address
30486 Passageway PL
Agoura Hills, CA 91301-2031
Phone (818) 597-2531
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT12392 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801013875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30486 PASSAGEWAY PL",
"city": "AGOURA HILLS",
"state": "CA",
"postal_code": "913012031",
"telephone_number": "818-597-2531",
"fax_number": "818-597-2532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10605 BALBOA BLVD STE 330",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913446358",
"telephone_number": "818-832-7200",
"fax_number": "818-832-7249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACNAUGHTON",
"first_name": "LORRAINE",
"middle_name": "S",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT12392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granada Hills, CA
- Robert J. Luszczak, DDS
- Luxottica of America Inc (Target Optical A953)
- Glora Ly, PHARMD
- Sarah Noelle Maar
- Jessica Sarah Machuca
- Jay B Madhure, M.D.
- Madras K. Padmanabhan,MD, Inc.
- Vincent Merula Mae Celestino
- Magnolia Gardens Convalescent Hospital LLC (Magnolia Gardens Convalescent Hospital)
- Ben Maguerrero
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.