Individual provider Active NPI

Erin Parker Pandol, MPT, OCS

  • Physical Therapist
  • Delano, CA
National Provider Identifier
1033101100
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26763 Issued in CA
Practice address
1701 S Lexington St
Delano, CA 93215-9200
Phone
(661) 720-2660
Fax
(661) 720-2661
NPI assigned
Aug 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 26763 CA Primary

Addresses

Primary practice location

1701 S Lexington St
Delano, CA 93215-9200

Mailing address

1701 S Lexington St
Delano, CA 93215-9200
Phone (661) 720-2660

Other identifiers 3

IdentifierTypeStateIssuer
P00113611OtherCARAILROAD MEDICARE PTAN
ZZZ21295ZOtherCAMEDICARE GROUP PTAN
0PT267631OtherCAMEDICARE INDIVIDUAL PTAN

Other names 1

  • Ms. Erin K Parker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26763CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wonderful Center for Health Innovation Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1033101100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 S LEXINGTON ST",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932159200",
            "telephone_number": "661-720-2660",
            "fax_number": "661-720-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 S LEXINGTON ST",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932159200",
            "telephone_number": "661-720-2660",
            "fax_number": "661-720-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDOL",
        "first_name": "ERIN",
        "middle_name": "PARKER",
        "name_prefix": "Mrs.",
        "credential": "MPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "26763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00113611",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "ZZZ21295Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "0PT267631",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "PARKER",
            "middle_name": "K",
            "prefix": "MS.",
            "credential": "MSPT, OCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Delano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.