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

Dr. Katrina Marie-Vandenberg Lake, PT

Individual provider Physical Therapist · NPI 1306205554

Dr. Katrina Marie-Vandenberg Lake, PT is registered under Physical Therapist in Private Practice in Santa Cruz, California. Qualified in 2015, 11 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2016
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1529 Seabright Ave
Santa Cruz, CA 95062-2528 Not confirmed with CMS for 10 years — call before visiting
Phone: (831) 458-6230
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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 43151 (CA)

Record details

NPI number1306205554
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 16, 2016
Last updated in NPPESFebruary 16, 2016

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients149
Services billed 911 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Sutter Bay Medical Foundation

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 3762 clinicians in the practice; 12 are shown here.

Other providers in Santa Cruz