Active NPI
William Andrew Atkins, PT, OCS
- Physical Therapist
- Fallbrook, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT10446
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0342092 | Other | CA | WA STATE DEPT OF LABOR AND INDUSTRIES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Therapy
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT10446 | CA | MD | Sports Physical Therapist |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Star Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Rancho Physical Therapy, Inc. | Physical Therapist | Past | 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
- 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.
-
- Physical Therapist
- Temecula, CA
- NPI 1679541320
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.