Individual provider Active NPI

Timothy Doyle, P.T.

  • Specialist
  • Monterey, CA
National Provider Identifier
1093877888
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT16353 Issued in CA
Practice address
550 Camino El Estero
Ste 100
Monterey, CA 93940-3231
Phone
(831) 372-2963
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT16353 CA Primary

Addresses

Primary practice location

550 Camino El Estero
Ste 100
Monterey, CA 93940-3231

Mailing address

1227 Miles Ave
Pacific Grove, CA 93950-5517
Phone (831) 375-1135

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050404001091 CA Practitioner - Physical Therapist in Private Practice 1153378955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ryan Ranch Physical Therapy Inc.Group PAC ID 7911948328, 2 clinicians

Practice addresses (Care Compare)

550 Camino El Estero
Monterey, CA 93940-3231
Phone (831) 372-2963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16353CAMDChiropractor
PT16353CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Leo L Fong Corporation Past Accepting new patients
Axis Physical Therapy PastSince Jan 1, 1999 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1093877888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 MILES AVE",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939505517",
            "telephone_number": "831-375-1135",
            "fax_number": "831-375-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CAMINO EL ESTERO",
            "address_2": "STE 100",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939403231",
            "telephone_number": "831-372-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT16353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.