Michael Eaton, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT292907 Issued in CA

Practice address

955 Lane Ave Ste 201
Chula Vista, CA 91914-4525

Phone

(619) 421-9521

NPI assigned

Mar 6, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Manual Orthopedic Physical Therapy IncGroup PAC ID 4880688910, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Manual Orthopedic Physical Therapy, Inc.

  • Physical Therapist
  • Chula Vista, CA
  • NPI 1982651535

  Orthopedic

  Medicare reassignment Care Compare group NPD
• Manual Orthopedic Physical Therapy Inc

  • Physical Therapist
  • Chula Vista, CA
  • NPI 1326363011
  NPD

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1154861482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 CANARIOS CT STE 110",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107877",
            "telephone_number": "619-656-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 LANE AVE STE 201",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144525",
            "telephone_number": "619-421-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON",
        "first_name": "MICHAEL",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-06",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT292907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT292907",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eastlake Optometry Inc.
• Eastlake Sleep Center
• Eastlake Surgery Center
• Eastlake Urgent Care a Professional Medical Corporation
• Eastlake Urgent Care LLC
• Myra Kurtz Ebeling, RD
• Krista Madison Eberle, PA
• Sarah K Ebert
• Katerina Echegaray, LMFT
• Angela Rose Eddy

• Orthopedic Physical Therapist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.