Active NPI
Timothy J Lane, PT
- Orthopedic Physical Therapist
- Encinitas, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT300789
- 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
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT300789 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-City Orthopaedic Surgery Medical Group Inc | Orthopedic | Current | Accepting new patients |
| Scripps Health | Current | Accepting new patients | |
| Tri City Orthopaedic Surgery Medical Group Inc | Orthopedic | Current | Accepting new patients |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Tri-City Orthopaedic Surgery Medical Group Inc | Past | 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.
-
- Multi-Specialty Clinic/Center
- La Jolla, CA
- NPI 1275899072
-
- Orthopaedic Surgery Physician
- Oceanside, CA
- NPI 1861451445
Orthopedic
-
- Home Health Agency
- San Diego, CA
- NPI 1578556114
-
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
-
- Orthopedic Physical Therapist
- Vista, CA
- NPI 1912314303
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1124003280
-
- Orthopaedic Surgery Physician
- Oceanside, CA
- NPI 1659797231
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.