CMS-1500 Box 24J / 33a • NPI
1710466008
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
225100000X (CMS 65)
Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist
Box 32 Service Location & ZIP+4
27699 JEFFERSON AVE STE 202, TEMECULA, CA, 92590-2697
✓ 9-Digit EDI 837 ZIP+4 (92590-2697)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1710466008 (CYAN AGENA, PT, DPT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1710466008)
Medicare Beneficiaries
26
Total Billed Services
861
Distinct CPT/HCPCS Codes
9
Medicare Allowed Total
$24,432.65
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 213 |
97140 | Therapy procedure using manual technique, each 15 minutes | 225 |
97162 | Evaluation for physical therapy, typically 30 minutes | 17 |
97530 | Therapy procedure using functional activities | 206 |
97535 | Training for self-care or home management, each 15 minutes | 151 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1710466008 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | CYAN AGENA, PT, DPT |
| Plain-English Specialty | Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist NUCC Code: 225100000X (Physical Therapist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 27699 JEFFERSON AVE STE 202, TEMECULA, CA, 92590-2697 |
| Practice Telephone / Fax | Tel: (951) 506-1405 | Fax: (951) 506-1406 |
| Administrative Mailing Address | 24630 WASHINGTON AVE STE 201, MURRIETA, CA, 92562-6177 |
| Enumeration & Last Sync | Enumerated: 2018-08-08 | CMS Record Updated: 2021-09-29 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (225100000X)
What Does Taxonomy Code 225100000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225100000X translates to:
"Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (CYAN AGENA, PT, DPT)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
225100000X — Physical TherapistPlain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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