Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alexia Kate Agamata, PT, DPT, CSCS

Individual provider Physical Therapist · NPI 1104509850

Alexia Kate Agamata, PT, DPT, CSCS is a Physical Therapist in Private Practice in Costa Mesa, California. Qualified in 2023, 3 years ago. Practices with California Rehabilitation and Sports Therapy a California Physical The, a 181-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2075 Newport Blvd Ste 107
Costa Mesa, CA 92627-2179
Phone: (949) 836-5239
Fax: (949) 301-9608
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 304407 (CA)

Record details

NPI number1104509850
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT , CSCS
Sole proprietorYes
NPI enumeratedAugust 9, 2023
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice California Rehabilitation And Sports Therapy A California Physical The — 181 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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