Individual provider Active NPI

Lorraine S Macnaughton, PT

  • Physical Therapist
  • Granada Hills, CA
National Provider Identifier
1801013875
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT12392 Issued in CA
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

Updated by the provider on Jul 8, 2007

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 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

LicenseStateTypeSpecialty
PT12392CAMDPhysical 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

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.

Verify at the official NPI Registry.