Individual provider Active NPI

Eric John McCabe, DPT

  • Physical Therapist
  • Chino Hills, CA
National Provider Identifier
1033231402
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3110 Chino Ave
Suite 130
Chino Hills, CA 91709-1211
Phone
(909) 902-5049
Fax
(909) 902-5059
NPI assigned
Apr 4, 2007
Last updated
Aug 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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 CA Primary

Addresses

Primary practice location

3110 Chino Ave
Suite 130
Chino Hills, CA 91709-1211

Mailing address

3110 Chino Ave
Suite 130
Chino Hills, CA 91709-1211
Phone (909) 902-5049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090914000771 CA Practitioner - Physical Therapist in Private Practice 0244287928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Pro-Body Orthopaedic and Sports Physical Therapy, Inc.Group PAC ID 7416003595, 2 clinicians

Practice addresses (Care Compare)

3110 Chino Ave
Suite 130
Chino Hills, CA 91709-1294
Phone (909) 602-5049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25555CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pro-Body Orthopaedic & Sports Physical Therapy, Inc. Physical Therapist CurrentSince Jul 20, 2009 Accepting new patients
Thomas K Y Hsu MD Inc Past Accepting new patients
Optc,Inc Physical Therapist PastSince Jan 1, 2005 Accepting new patients

Locations

13768 Roswell Ave
Ste 117
Chino, CA 91710
Phone (909) 628-4741

3110 Chino Ave
Ste 130
Chino Hills, CA 91709
Phone (626) 912-6888

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1033231402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 CHINO AVE",
            "address_2": "SUITE 130",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091211",
            "telephone_number": "909-902-5049",
            "fax_number": "909-902-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 CHINO AVE",
            "address_2": "SUITE 130",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091211",
            "telephone_number": "909-902-5049",
            "fax_number": "909-902-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCABE",
        "first_name": "ERIC",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.