Active NPI
Cristina E. Bullard Cutone, D.P.T.
- Orthopedic Physical Therapist
- San Clemente, CA
National Provider Identifier
1124067392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT29109
- 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
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 |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT29109 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Clemente Physical Therapy Inc | Pediatrics | Current | 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.
-
- Physical Therapist
- San Clemente, CA
- NPI 1679082085
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.