Individual provider Active NPI

Katia Nicole Correa, PT

  • Physical Therapist
  • Tustin, CA
National Provider Identifier
1831744036
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
297002 Issued in CA
Practice address
15000 Kensington Park Dr
Tustin, CA 92782-1830
Phone
(657) 859-6458
Fax
(657) 215-8480
NPI assigned
Aug 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 297002 CA Primary

Addresses

Primary practice location

15000 Kensington Park Dr
Tustin, CA 92782-1830

Mailing address

15000 Kensington Park Dr
Tustin, CA 92782-1830
Phone (657) 859-6458

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191016002317 CA Practitioner - Physical Therapist in Private Practice 4284965674 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles (5 of 6)

OrganizationSpecialtyStatusNew patients
California Therapy Solutions Single Specialty CurrentSince Aug 26, 2019 Accepting new patients
Proactive Physical Therapy & Sports Medicine Inc Single Specialty CurrentSince Jan 7, 2024 Accepting new patients
California Therapy Solutions CurrentSince Aug 26, 2019 Accepting new patients
Rausch Physical Therapy, Inc. Single Specialty CurrentSince Jan 13, 2025 Accepting new patients
DPT Holdings PLLC Single Specialty CurrentSince Sep 1, 2025 Accepting new patients

Locations

6070 Avenida Encinas
Ste 100
Carlsbad, CA 92011
Phone (760) 444-0102

485 E 17th St
Ste 650
Costa Mesa, CA 92627
Phone (949) 722-7374

24582 Del Prado
Ste C
Dana Point, CA 92629
Phone (949) 276-5401

19582 Beach Blvd
Ste 130
Huntington Beach, CA 92648
Phone (714) 841-6162

30100 Town Center Dr
Ste Yz
Laguna Niguel, CA 92677
Phone (949) 276-5401

15000 Kensington Park Dr
Ste 110
Tustin, CA 92782
Phone (657) 859-6458

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Rehabilitation and Sports Therapy a California Physical the 182 clinicians
Rausch Physical Therapy Inc 20 clinicians

Practice addresses (Care Compare)

26302 La Paz Rd
Suite 105
Mission Viejo, CA 92691-5327
Phone (949) 206-1700

30100 Town Ctr Dr
Suite Yz
Laguna Niguel, CA 92677-2064
Phone (949) 276-5401

NPI Registry JSON

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1831744036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 KENSINGTON PARK DR",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927821830",
            "telephone_number": "657-859-6458",
            "fax_number": "657-215-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15000 KENSINGTON PARK DR",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927821830",
            "telephone_number": "657-859-6458",
            "fax_number": "657-215-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA",
        "first_name": "KATIA",
        "middle_name": "NICOLE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "297002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.