Active NPI
Katia Nicole Correa, PT
- Physical Therapist
- Tustin, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 297002
- 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
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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Therapy Solutions | Single Specialty | Current | Accepting new patients |
| Proactive Physical Therapy & Sports Medicine Inc | Single Specialty | Current | Accepting new patients |
| California Therapy Solutions | Current | Accepting new patients | |
| Rausch Physical Therapy, Inc. | Single Specialty | Current | Accepting new patients |
| DPT Holdings PLLC | Single Specialty | Current | 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.
-
- Physical Therapy Clinic/Center
- Laguna Niguel, CA
- NPI 1538110861
CA, Single Specialty
-
- Multi-Specialty Clinic/Center
- Mission Viejo, CA
- NPI 1386696409
CA
-
- Physical Therapy Clinic/Center
- Fountain Valley, CA
- NPI 1548329519
CA, Single Specialty
-
- Physical Therapy Clinic/Center
- Carlsbad, CA
- NPI 1285729509
CA, Single Specialty
-
- Specialist
- Huntington Beach, CA
- NPI 1265869523
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 theRausch Physical Therapy Inc
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.