Active NPI
Erin Danielle Mackin, DPT
- Orthopedic Physical Therapist
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT292908
- 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, 2017
- Sex
- Female
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT292908 | Other | CA | PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, SD
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT292908 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wav Wellness and Vitality Inc. | Current | Accepting new patients | |
| The Physical Therapy Center of Sturgis, PC | Current | Accepting new patients | |
| Rapid City Physical Therapy, Inc | Current | Accepting new patients | |
| California Therapy Solutions | Orthopedic | Current | Accepting new patients |
| California Therapy Solutions | Current | 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.
-
dba The Physical Therapy Center
- Physical Therapy Clinic/Center
- Rapid City, SD
- NPI 1740398833
-
- Physical Therapy Clinic/Center
- Fountain Valley, CA
- NPI 1548329519
Orthopedic
-
- Physical Therapist
- Dana Point, CA
- NPI 1790203651
-
dba The Physical Therapy Center
- Physical Therapist
- Sturgis, SD
- NPI 1285585729
-
- Specialist
- Huntington Beach, CA
- NPI 1265869523
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.