Individual provider Active NPI

Kyla Cruz, DPT

  • Physical Therapist
  • Vacaville, CA
National Provider Identifier
1871180315
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
300629 Issued in CA
Practice address
81 Cernon St
Vacaville, CA 95688-2803
Phone
(707) 447-9750
Fax
(707) 447-9220
NPI assigned
Dec 30, 2020
Last updated
Feb 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT019037 OH
Physical Therapist 225100000X 300629 CA Primary

Addresses

Primary practice location

81 Cernon St
Vacaville, CA 95688-2803

Mailing address

81 Cernon St
Vacaville, CA 95688-2803
Phone (707) 447-9750

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211202002973 CA Practitioner - Physical Therapist in Private Practice 7113330424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MDRS Spine and Sport IncGroup PAC ID 3274446687, 181 clinicians

Practice addresses (Care Compare)

12723 Ventura Blvd
Studio City, CA 91604-2430
Phone (818) 579-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Solano Sports Physical Therapy & Training, Inc. Physical Therapist CurrentSince Apr 30, 2023 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Jul 7, 2025 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Jul 7, 2025 Accepting new patients
VW Physical Therapy, Inc. CurrentSince Jan 25, 2022 Accepting new patients
Bay Area Spine & Sport, Inc Physical Therapist PastSince Oct 3, 2012 Accepting new patients

Locations

450 Rosewood Ave
Ste 105
Camarillo, CA 93010
Phone (805) 389-4781

1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104

14150 Culver Dr
Ste 103
Irvine, CA 92604
Phone (949) 262-9142

5035 W Slauson Ave
Ste H
Los Angeles, CA 90056
Phone (310) 695-6340

9852 Business Park Dr
Ste A
Sacramento, CA 95827
Phone (916) 362-7962

1801 Cleveland Ave
Ste B
Santa Rosa, CA 95401
Phone (707) 526-4180

12723 Ventura Blvd
Studio City, CA 91604
Phone (800) 976-7544

1350 Burton Dr
Ste 260
Vacaville, CA 95687
Phone (707) 449-3484

81 Cernon St
Vacaville, CA 95688
Phone (707) 447-9750

5850 Canoga Ave
Ste 120
Woodland Hills, CA 91367
Phone (747) 255-4089

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1871180315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 CERNON ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956882803",
            "telephone_number": "707-447-9750",
            "fax_number": "630-575-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 CERNON ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956882803",
            "telephone_number": "707-447-9750",
            "fax_number": "707-447-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "KYLA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-30",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT019037",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.