Individual provider Active NPI

Mikayla Reed, PT, DPT

  • Physical Therapist
  • Los Gatos, CA
National Provider Identifier
1952014110
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
14107 Winchester Blvd Ste O
Los Gatos, CA 95032-1836
Phone
(408) 724-8264
NPI assigned
Jan 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 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 Primary

Addresses

Primary practice location

14107 Winchester Blvd Ste O
Los Gatos, CA 95032-1836

Mailing address

2360 Moran CT
Auburn, CA 95603-9482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230223001564 CA Practitioner - Physical Therapist in Private Practice 6204209109 Reassigns benefits to 1 organization
I20260116002568 OR Practitioner - Physical Therapist in Private Practice 6204209109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Creek Fitness and Physical TherapyGroup PAC ID 7012994791, 38 clinicians
North Bend Medical Center IncGroup PAC ID 5597677716, 92 clinicians

Practice addresses (Care Compare)

14107 Winchester Blvd
Suite O
Los Gatos, CA 95032-1836
Phone (408) 868-5577

1900 Woodland Dr
NBMC Xray/Ekg
Coos Bay, OR 97420-2045
Phone (541) 267-5151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Bend Medical Center Inc CurrentSince Feb 28, 2026 Accepting new patients
Silver Creek Fitness and Physical Therapy Physical Therapist CurrentSince Jan 16, 2023 Accepting new patients
North Bend Medical Center Inc Past Accepting new patients
North Bend Medical Center Past Accepting new patients

Locations

14107 Winchester Blvd
Ste O
Los Gatos, CA 95032
Phone (408) 724-8264

5600 Mowry School Rd
Ste 305
Newark, CA 94560
Phone (510) 651-9258

4205 San Felipe Rd
Ste 100
San Jose, CA 95135
Phone (408) 238-1552

121 Bernal Rd
San Jose, CA 95119
Phone (408) 227-2141

1900 Woodland Dr
Coos Bay, OR 97420
Phone (541) 267-5151

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.

NPI Registry JSON

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1952014110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 MORAN CT",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956039482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14107 WINCHESTER BLVD STE O",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321836",
            "telephone_number": "408-724-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "MIKAYLA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-03",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.