Individual provider Active NPI

Andrew Cassady King Jr., DPT

  • Physical Therapist
  • Santa Ana, CA
National Provider Identifier
1144180373
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
309126 Issued in CA
Practice address
3100 W Warner Ave
Santa Ana, CA 92704-5331
Phone
(714) 546-4233
NPI assigned
Nov 12, 2025
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 309126 CA Primary

Addresses

Primary practice location

3100 W Warner Ave
Santa Ana, CA 92704-5331

Mailing address

2110 E 16TH St Apt Q303
Newport Beach, CA 92663-5990
Phone (530) 933-0230

Other practice location 1

40 Centerpointe Dr Unit 115
LA Palma, CA 90623-1028
Phone (714) 522-8020

Other practice location 2

1101 S Anaheim Blvd
Anaheim, CA 92805-5811
Phone (714) 937-1919

Other identifiers 1

IdentifierTypeStateIssuer
309126OtherCAPTBCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260508002637 CA Practitioner - Physical Therapist in Private Practice 1355819244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

201 Sandpointe Ave
Suite 130
Santa Ana, CA 92707-5703

2110 E 16TH St Apt
Q303
Newport Beach, CA 92663-5990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
309126CAMDPhysical Therapist

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": "1762905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1144180373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 E 16TH ST APT Q303",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926635990",
            "telephone_number": "530-933-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 W WARNER AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045331",
            "telephone_number": "714-546-4233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Centerpointe Dr Unit 115",
            "address_purpose": "LOCATION",
            "city": "LA Palma",
            "state": "CA",
            "postal_code": "906231028",
            "country_code": "US",
            "telephone_number": "714-522-8020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 S Anaheim Blvd",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928055811",
            "country_code": "US",
            "telephone_number": "714-937-1919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "ANDREW",
        "middle_name": "CASSADY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "309126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTBCA",
            "identifier": "309126",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.