Individual provider Active NPI

Timothy J Lane, PT

  • Orthopedic Physical Therapist
  • Encinitas, CA
National Provider Identifier
1194494955
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT300789 Issued in CA
Practice address
1092 N El Camino Real
Encinitas, CA 92024-1367
Phone
(760) 633-6507
NPI assigned
Sep 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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 PT300789 CA Primary

Addresses

Primary practice location

1092 N El Camino Real
Encinitas, CA 92024-1367

Mailing address

10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Phone (760) 633-6507

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210929002332 CA Practitioner - Physical Therapist in Private Practice 0547667826 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scripps HealthGroup PAC ID 9234033853, 1,450 clinicians

Practice addresses (Care Compare)

1092 N El Camino Real
Encinitas, CA 92024-1367
Phone (760) 633-6057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT300789CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-City Orthopaedic Surgery Medical Group Inc Orthopedic CurrentSince Sep 9, 2021 Accepting new patients
Scripps Health CurrentSince Apr 11, 2022 Accepting new patients
Tri City Orthopaedic Surgery Medical Group Inc Orthopedic CurrentSince Sep 9, 2021 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health CurrentSince Apr 11, 2022 Accepting new patients
Tri-City Orthopaedic Surgery Medical Group Inc PastSince Sep 1, 2021 Accepting new patients
Scripps Clinic Medical Group Past Accepting new patients

Locations

6121 Paseo del Norte
Carlsbad, CA 92011
Phone (760) 724-9000

6121 Paseo del Norte
Ste 200
Carlsbad, CA 92011
Phone (760) 448-9050

1092 N El Camino Real
Encinitas, CA 92024
Phone (760) 633-6035

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

3905 Waring Rd
Oceanside, CA 92056
Phone (760) 477-1350

10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626

1958 Via Ctr
Vista, CA 92081
Phone (760) 477-1350

Organizations & group practices 7

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": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1194494955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10790 RANCHO BERNARDO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921275705",
            "telephone_number": "760-633-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1092 N EL CAMINO REAL",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241367",
            "telephone_number": "760-633-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-07",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT300789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.