Individual provider Active NPI

Joseph Katigbak

  • Physical Therapist
  • Fullerton, CA
National Provider Identifier
1922828706
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
306858 Issued in CA
Practice address
642 W Commonwealth Ave
Fullerton, CA 92832-1771
Phone
(213) 674-7699
NPI assigned
Oct 15, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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 306858 CA Primary

Addresses

Primary practice location

642 W Commonwealth Ave
Fullerton, CA 92832-1771

Mailing address

610 W Broadway Apt 212
Anaheim, CA 92805-3678
Phone (213) 610-5088

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241104002461 CA Practitioner - Physical Therapist in Private Practice 3678006202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Equip Physical Therapy and Rehabilitation IncGroup PAC ID 5698049914, 2 clinicians

Practice addresses (Care Compare)

505 S Virgil Ave
Suite 204a
Los Angeles, CA 90020-1443
Phone (213) 674-7699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Equip Physical Therapy and Rehabilitation Inc Physical Therapist CurrentSince Oct 21, 2024 Accepting new patients
CJ Physiotherapy Inc Physical Therapist CurrentSince Oct 21, 2024 Accepting new patients

Locations

642 W Commonwealth Ave
Fullerton, CA 92832
Phone (213) 674-7699

505 S Virgil Ave
Ste 204A
Los Angeles, CA 90020
Phone (213) 674-7699

Organizations & group practices 2

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": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1922828706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 W BROADWAY APT 212",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928053678",
            "telephone_number": "213-610-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 W COMMONWEALTH AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321771",
            "telephone_number": "213-674-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATIGBAK",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.