Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaisa Chang

Individual provider Physical Therapist · NPI 1184401960

Kaisa Chang is a Physical Therapist in Private Practice in Elk Grove, California. Qualified in 2023, 3 years ago. Practices with Stac Physical Therapy Laguna Inc, a 5-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
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Practice location Address checks out

9563 Laguna Springs Dr Ste 200
Elk Grove, CA 95758-8205
Phone: (916) 691-9822
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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 304754 (CA)

Record details

NPI number1184401960
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 13, 2023
Last updated in NPPESMay 28, 2024
Certification dateMay 28, 2024

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 Stac Physical Therapy Laguna Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Elk Grove