Individual provider Active NPI

William Andrew Atkins, PT, OCS

  • Physical Therapist
  • Fallbrook, CA
National Provider Identifier
1043294341
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT10446 Issued in CA
Practice address
577 E Elder St
Suite I
Fallbrook, CA 92028-3079
Phone
(760) 723-2687
Fax
(760) 723-2689
NPI assigned
Dec 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT10446 CA Primary
Sports Physical Therapist 2251S0007X PT10446 CA
Orthopedic Physical Therapist 2251X0800X PT10446 CA

Addresses

Primary practice location

577 E Elder St
Suite I
Fallbrook, CA 92028-3079

Mailing address

29645 Rancho California Rd
Ste. 234
Temecula, CA 92591-6200
Phone (951) 506-3001

Other identifiers 1

IdentifierTypeStateIssuer
0342092OtherCAWA STATE DEPT OF LABOR AND INDUSTRIES

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111207000175 CA Practitioner - Physical Therapist in Private Practice 8426945684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Star Physical TherapyGroup PAC ID 7719030949, 149 clinicians

Practice addresses (Care Compare)

29645 Rancho California Rd
Suite 234
Temecula, CA 92591-5211
Phone (951) 506-3001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT10446CAMDSports Physical Therapist

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
All Star Physical Therapy Physical Therapist CurrentSince Jul 25, 2013 Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist PastSince Apr 30, 2003 Accepting new patients

Locations

16008 Kamana Rd
Ste 200
Apple Valley, CA 92307
Phone (760) 810-7767

50225 Harrison St
Ste 103
Coachella, CA 92236
Phone (760) 698-8183

577 E Elder St
Ste I
Fallbrook, CA 92028
Phone (760) 723-2687

3989 W Stetson Ave
Ste 105
Hemet, CA 92545
Phone (951) 652-3334

79440 Corporate Center Dr
Ste 112
La Quinta, CA 92253
Phone (760) 771-9054

25136 Hancock Ave
Ste A
Murrieta, CA 92562
Phone (951) 296-9801

24630 Washington Ave
Ste 201
Murrieta, CA 92562
Phone (951) 200-3620

77622 Country Club Dr
Ste G
Palm Desert, CA 92211
Phone (760) 345-3087

1338 Main St
Ramona, CA 92065
Phone (760) 789-1400

69730 Highway 111
Ste 100
Rancho Mirage, CA 92270
Phone (760) 636-5207

29645 Rancho California Rd
Ste 234
Temecula, CA 92591
Phone (951) 506-3001

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2154/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1043294341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29645 RANCHO CALIFORNIA RD",
            "address_2": "STE. 234",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916200",
            "telephone_number": "951-506-3001",
            "fax_number": "951-506-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 E ELDER ST",
            "address_2": "SUITE I",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283079",
            "telephone_number": "760-723-2687",
            "fax_number": "760-723-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATKINS",
        "first_name": "WILLIAM",
        "middle_name": "ANDREW",
        "credential": "PT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT10446",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "PT10446",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT10446",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE DEPT OF LABOR AND INDUSTRIES",
            "identifier": "0342092",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallbrook, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.