Active NPI
Allan Anolin
- Physical Therapist
- Lake Elsinore, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 305168
- Practice address
- 25381 Railroad Canyon Rd Ste 1101
Lake Elsinore, CA 92532-2705 - Phone
- (951) 244-8404
- NPI assigned
- Nov 20, 2023
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 305168 | CA | Primary |
Addresses
Primary practice location
25381 Railroad Canyon Rd Ste 1101
Lake Elsinore, CA 92532-2705
Mailing address
24643 Corte Jaramillo
Murrieta, CA 92562-3860
Phone (951) 440-8767
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25381 Railroad Canyon Rd
Suite 1101
Lake Elsinore, CA 92532-2705
Phone (951) 244-8404
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305168 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairbanks & Power Physical Therapy Corp. | Physical Therapist | Current | Accepting new patients |
Locations
949 S State St
Hemet, CA 92543
Phone (951) 929-9890
2 Peters Canyon Rd
Ste 100
Irvine, CA 92606
Phone (949) 679-3988
25381 Railroad Canyon Rd
Ste 1101
Lake Elsinore, CA 92532
Phone (951) 244-8404
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 and National Provider Directory roles.
-
- Physical Therapist
- Irvine, CA
- NPI 1912953936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1205601283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24643 CORTE JARAMILLO",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925623860",
"telephone_number": "951-440-8767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25381 RAILROAD CANYON RD STE 1101",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925322705",
"telephone_number": "951-244-8404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANOLIN",
"first_name": "ALLAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-20",
"last_updated": "2023-11-20",
"certification_date": "2023-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "305168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Elsinore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.