Active NPI
Aubin Elliott, DPT
- Physical Therapist
- Victorville, CA
National Provider Identifier
1184045635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40794
- Practice address
- 17270 Bear Valley Rd Ste 105
Victorville, CA 92395-7751 - Phone
- (760) 245-8828
- NPI assigned
- Dec 31, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40794 | CA | Primary |
Addresses
Primary practice location
17270 Bear Valley Rd Ste 105
Victorville, CA 92395-7751
Mailing address
10459 Mountain View Ave
Loma Linda, CA 92354-2033
Phone (909) 478-9508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40794 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439424000000",
"number": "1184045635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10459 MOUNTAIN VIEW AVE",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923542033",
"telephone_number": "909-478-9508",
"fax_number": "909-478-9518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17270 BEAR VALLEY RD STE 105",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923957751",
"telephone_number": "760-245-8828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "AUBIN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-31",
"last_updated": "2015-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "40794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.