Individual provider Active NPI

Mikayla Lynn Remijio, PT

  • Physical Therapist
  • Laguna Beach, CA
National Provider Identifier
1992659304
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
309801 Issued in CA
Practice address
906 Glenneyre St
Laguna Beach, CA 92651-2707
Phone
(949) 494-2046
Fax
(949) 494-2043
NPI assigned
Feb 23, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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 309801 CA Primary

Addresses

Primary practice location

906 Glenneyre St
Laguna Beach, CA 92651-2707

Mailing address

906 Glenneyre St
Laguna Beach, CA 92651-2707
Phone (949) 494-2046

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260306003414 CA Practitioner - Physical Therapist in Private Practice 7810479839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laguna Sports Physical Therapy P CGroup PAC ID 7416474515, 4 clinicians

Practice addresses (Care Compare)

906 Glenneyre St
Laguna Beach, CA 92651-2707
Phone (949) 494-2046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
309801CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Laguna Sports Physical Therapy P.C. Physical Therapist CurrentSince Feb 23, 2026 Accepting new patients

Locations

906 Glenneyre St
Laguna Beach, CA 92651
Phone (949) 494-2046

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": "1771804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1992659304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 GLENNEYRE ST",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512707",
            "telephone_number": "949-494-2046",
            "fax_number": "949-494-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 GLENNEYRE ST",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512707",
            "telephone_number": "949-494-2046",
            "fax_number": "949-494-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMIJIO",
        "first_name": "MIKAYLA",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "309801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.