Individual provider Active NPI

Erin Danielle Mackin, DPT

  • Orthopedic Physical Therapist
  • Santa Ana, CA
National Provider Identifier
1215469432
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT292908 Issued in CA
Practice address
1910 Old Tustin Ave
Santa Ana, CA 92705-7811
Phone
(714) 835-6638
Fax
(714) 835-4889
NPI assigned
Mar 28, 2017
Last updated
Mar 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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 PT292908 CA Primary

Addresses

Primary practice location

1910 Old Tustin Ave
Santa Ana, CA 92705-7811

Mailing address

1910 Old Tustin Ave
Santa Ana, CA 92705-7811
Phone (714) 835-6638

Other identifiers 1

IdentifierTypeStateIssuer
PT292908OtherCAPT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170418002059 CA Practitioner - Physical Therapist in Private Practice 0648556159 Reassigns benefits to 2 organizations
I20231010003904 SD Practitioner - Physical Therapist in Private Practice 0648556159 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rapid City Physical Therapy IncGroup PAC ID 3870588437, 7 clinicians

Practice addresses (Care Compare)

1110 W Omaha St
Suite 3
Rapid City, SD 57701-8097
Phone (605) 721-5950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT292908CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wav Wellness and Vitality Inc. CurrentSince Mar 31, 2023 Accepting new patients
The Physical Therapy Center of Sturgis, PC CurrentSince May 16, 2026 Accepting new patients
Rapid City Physical Therapy, Inc CurrentSince Aug 21, 2023 Accepting new patients
California Therapy Solutions Orthopedic CurrentSince Aug 17, 2020 Accepting new patients
California Therapy Solutions CurrentSince Aug 17, 2020 Accepting new patients

Locations

485 E 17th St
Ste 650
Costa Mesa, CA 92627
Phone (949) 722-7374

3551 Camino Mira Costa
Ste N
San Clemente, CA 92672
Phone (949) 373-5054

1110 W Omaha St
Ste 3
Rapid City, SD 57701
Phone (605) 721-5950

2707 Lazelle St
Ste 2
Sturgis, SD 57785

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1215469432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 OLD TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927057811",
            "telephone_number": "714-835-6638",
            "fax_number": "714-835-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 OLD TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927057811",
            "telephone_number": "714-835-6638",
            "fax_number": "714-835-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKIN",
        "first_name": "ERIN",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT292908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT292908",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.