MCKENNA NICOLE THIBODEAU PT
NPI 1790521904
Physical Therapist in Huntington Beach, CA
About Mckenna Nicole Thibodeau Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MCKENNA NICOLE THIBODEAU PT (NPI 1790521904) is an individual physical therapist in Huntington Beach, California and active in the NPI registry since July 2024. She is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mckenna Nicole Thibodeau Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Mckenna Thibodeau reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Costa Mesa, CA 92626
- Reassigned Medicare billing, California enrollment
- 10 clinicians in this Medicare group
Carlsbad, CA 92011
- Reassigned Medicare billing, California enrollment
- 92 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92648 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HUNTINGTON BEACH, CA 92648
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mckenna Thibodeau's NPI number?
The NPI number for Mckenna Thibodeau is 1790521904. It was assigned to this individual provider in the NPPES registry on July 8, 2024.
Where is Mckenna Thibodeau located?
Mckenna Thibodeau practices at 19582 Beach Blvd Ste 130, Huntington Beach, CA 92648. The listed phone number is (714) 841-6162.
What is Mckenna Thibodeau's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Mckenna Thibodeau enrolled in Medicare?
Yes. Mckenna Thibodeau is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mckenna Thibodeau's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mckenna Thibodeau reassigns Medicare benefits to 2 organizations: Cuirim Sports Physical Therapy Inc (Costa Mesa, CA) and Proactive Physical Therapy & Sports Medicine Inc (Carlsbad, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mckenna Thibodeau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mckenna Thibodeau was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.