Individual provider Active NPI

Anna Maria Kotula, DPT

  • Physical Therapist
  • Ojai, CA
National Provider Identifier
1902868516
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29769 Issued in CA
Practice address
407 W Ojai Ave
Suite C
Ojai, CA 93023
Phone
(805) 646-4906
Fax
(805) 640-8325
NPI assigned
Apr 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2018

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 29769 CA Primary

Addresses

Primary practice location

407 W Ojai Ave
Suite C
Ojai, CA 93023

Mailing address

407 W Ojai Ave
Suite C
Ojai, CA 93023-2443
Phone (805) 646-4906

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060209000468 CA Practitioner - Physical Therapist in Private Practice 9032124219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

407 W Ojai Ave
Apt C
Ojai, CA 93023-2464
Phone (805) 798-1408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29769CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Body Garage Inc. Physical Therapist CurrentSince Jan 1, 2006 Accepting new patients

Organizations & group practices 1

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1902868516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 W OJAI AVE",
            "address_2": "SUITE C",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930232443",
            "telephone_number": "805-646-4906",
            "fax_number": "805-624-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W OJAI AVE",
            "address_2": "SUITE C",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "93023",
            "telephone_number": "805-646-4906",
            "fax_number": "805-640-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTULA",
        "first_name": "ANNA",
        "middle_name": "MARIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "29769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ojai, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.