Active NPI
Kathryn Enegren, DPT
- Physical Therapist
- Northridge, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT39080
- Practice address
- 11225 Tampa Ave
Northridge, CA 91326-1610 - Phone
- (818) 363-9970
- Fax
- (818) 363-9980
- NPI assigned
- Sep 7, 2012
- Sex
- Female
- Sole proprietor
- No
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 | PT39080 | CA | Primary |
Addresses
Primary practice location
11225 Tampa Ave
Northridge, CA 91326-1610
Mailing address
27125 Sierra Hwy
Ste 203
Canyon Country, CA 91351-5428
Phone (661) 250-9940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11225 Tampa Ave
Northridge, CA 91326-1610
Phone (818) 363-9970
Merit-based Incentive Payment System (MIPS)
- Final score
- 61.07 of 100
- Quality
- 51.37
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39080 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vargo Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Vargo Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Vargo Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
| Vargo Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
27125 Sierra Hwy
Ste 203
Canyon Country, CA 91351
Phone (661) 250-9940
4211 Tierra Rejada Rd
Moorpark, CA 93021
Phone (805) 523-8076
11225 Tampa Ave
Porter Ranch, CA 91326
Phone (818) 363-9970
25115 Avenue Stanford
#B135
Valencia, CA 91355
Organizations & group practices 4
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 Therapist
- Santa Clarita, CA
- NPI 1811910797
-
- Physical Therapist
- Burbank, CA
- NPI 1104316827
-
- Physical Therapist
- Northridge, CA
- NPI 1386768539
-
- Physical Therapist
- Moorpark, CA
- NPI 1700910932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560470400000",
"number": "1902155658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27125 SIERRA HWY",
"address_2": "STE 203",
"city": "CANYON COUNTRY",
"state": "CA",
"postal_code": "913515428",
"telephone_number": "661-250-9940",
"fax_number": "661-250-9959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11225 TAMPA AVE",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913261610",
"telephone_number": "818-363-9970",
"fax_number": "818-363-9980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENEGREN",
"first_name": "KATHRYN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-07",
"last_updated": "2019-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT39080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.