Individual provider Active NPI

Cristina E. Bullard Cutone, D.P.T.

  • Orthopedic Physical Therapist
  • San Clemente, CA
National Provider Identifier
1124067392
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT29109 Issued in CA
Practice address
647 Camino de Los Mares Ste 111
San Clemente, CA 92673-2806
Phone
(949) 240-0600
Fax
(949) 240-7578
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT29109 CA Primary

Addresses

Primary practice location

647 Camino de Los Mares Ste 111
San Clemente, CA 92673-2806

Mailing address

24242 La Cresta Dr
Dana Point, CA 92629-2561

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220520000396 CA Practitioner - Physical Therapist in Private Practice 6204213887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catch a Wave Physical TherapyGroup PAC ID 9234498916, 3 clinicians

Practice addresses (Care Compare)

647 Camino de Los Mares
Suite 111
San Clemente, CA 92673-2806
Phone (949) 240-0600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT29109CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
San Clemente Physical Therapy Inc Pediatrics CurrentSince Apr 12, 2022 Accepting new patients

Locations

647 Camino de los Mares
Ste 108147
San Clemente, CA 92673

647 Camino de los Mares
Ste 111
San Clemente, CA 92673
Phone (949) 240-0600

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1124067392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24242 LA CRESTA DR",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 CAMINO DE LOS MARES STE 111",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732806",
            "telephone_number": "949-240-0600",
            "fax_number": "949-240-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTONE",
        "first_name": "CRISTINA",
        "middle_name": "E. BULLARD",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT29109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.