Carissa Lee Regan, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

37306 Issued in CA

Practice address

24012 Calle de la Plata Ste 200
Laguna Hills, CA 92653-7624

Phone

(949) 583-9251

NPI assigned

Jan 10, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sand Coast Rehab Physical Therapy IncGroup PAC ID 7315352911, 131 clinicians

CRS Physical Therapy Inc.Group PAC ID 1355508433, 55 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• CRS Physical Therapy Inc.

  dba Ocean Physical Therapy

  • Physical Therapist
  • San Diego, CA
  • NPI 1265478358
  Medicare reassignment Care Compare group NPD
• Sand Coast Rehab Physical Therapy Inc

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1639766603

  CA

  Medicare reassignment Care Compare group
• Southside Physical Therapy and Sports Center

  • Physical Therapist
  • Huntington Beach, CA
  • NPI 1174891980
  NPD (past)
• Southside Physical Therapy and Training Center Inc

  • Physical Therapist
  • Laguna Hills, CA
  • NPI 1316103260
  NPD (past)

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341273600000",
    "number": "1932403672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24012 CALLE DE LA PLATA STE 200",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24012 CALLE DE LA PLATA STE 200",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537624",
            "telephone_number": "949-583-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGAN",
        "first_name": "CARISSA",
        "middle_name": "LEE",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2012-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "37306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark J Redd, D.D.S
• Danielle Marie Reddel, LMFT
• Katherine Christine Redden, PA
• David Norman Reed, PH.D., MFT, CEAP
• Wendi Jazmin Regalado Rayo
• Rehab Alliance
• Rehab Alliance
• Rehabcare Group East, LLC (RehabCare)
• Tracy Michele Reid
• Julia Reiter

• Physical Therapist in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; 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.