Active NPI
Caryn Ito, MS, PT
- Pediatric Physical Therapist
- Huntington Beach, CA
National Provider Identifier
1063717072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 13527
- Practice address
- 18700 Beach Blvd
120
Huntington Beach, CA 92648-2030 - Phone
- (714) 962-6760
- Fax
- (714) 962-5961
- NPI assigned
- Jan 21, 2011
- Last updated
- Jan 21, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 13527 | CA | Primary |
Addresses
Primary practice location
18700 Beach Blvd
120
Huntington Beach, CA 92648-2030
Mailing address
18700 Beach Blvd
120
Huntington Beach, CA 92648-2030
Phone (714) 962-6760
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13527 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Therapies | Pediatrics | 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, 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": "1295568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295568000000",
"number": "1063717072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18700 BEACH BLVD",
"address_2": "120",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926482030",
"telephone_number": "714-962-6760",
"fax_number": "714-962-5961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18700 BEACH BLVD",
"address_2": "120",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926482030",
"telephone_number": "714-962-6760",
"fax_number": "714-962-5961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ITO",
"first_name": "CARYN",
"credential": "MS, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-21",
"last_updated": "2011-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CA",
"license": "13527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Beach, CA
- Kelly Isaacs, PT, DPT, GCS, CEEAA
- Ishcorp Enterprises (Synergy Physical Therapy)
- David K. Ishii, MPT
- Monique Iskarous, DDS
- Ismile Dental Group of Rebecca S. Ahlers, DDS. Inc. (Surf City Family Dentistry)
- Matthew Ito
- Veronica Sezanov Ivelia
- Marifel Antonette Ivers
- Kevin J Ivey, M.D.
- Komala Iyengar, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.