Individual provider Active NPI

Kristopher William Szalonek, M.P.T

  • Physical Therapist
  • Santa Maria, CA
National Provider Identifier
1801119714
Registry record updated Mar 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT36398 Issued in CA
Practice address
2342 Professional Pkwy
#110
Santa Maria, CA 93455-1630
Phone
(805) 614-0400
Fax
(805) 614-0500
NPI assigned
Mar 5, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2010

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 PT36398 CA Primary

Addresses

Primary practice location

2342 Professional Pkwy
#110
Santa Maria, CA 93455-1630

Mailing address

2342 Professional Pkwy
#110
Santa Maria, CA 93455-1630
Phone (805) 614-0400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100724000245 CA Practitioner - Physical Therapist in Private Practice 1850423989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Loma Linda University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sims Physical Therapy, Inc.Group PAC ID 1153376504, 5 clinicians

Practice addresses (Care Compare)

2530 Professional Pkwy
Santa Maria, CA 93455-8200
Phone (805) 928-4465

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sims Physical Therapy Inc Physical Therapist CurrentSince Feb 17, 2020 Accepting new patients
Coastal Communities Physician Network, Inc. PastSince Feb 17, 2020 Accepting new patients

Locations

2530 Professional Pkwy
Ste A
Santa Maria, CA 93455

2530 Professional Pkwy
Santa Maria, CA 93455
Phone (805) 928-4465

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1267747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267747200000",
    "number": "1801119714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2342 PROFESSIONAL PKWY",
            "address_2": "#110",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551630",
            "telephone_number": "805-614-0400",
            "fax_number": "805-614-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2342 PROFESSIONAL PKWY",
            "address_2": "#110",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551630",
            "telephone_number": "805-614-0400",
            "fax_number": "805-614-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZALONEK",
        "first_name": "KRISTOPHER",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "M.P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-05",
        "last_updated": "2010-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT36398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; 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.