Active NPI
Dean William Loomis
- Orthopedic Physical Therapist
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT304487
- Practice address
- 2 Peters Canyon Rd Ste 100
Irvine, CA 92606-1798 - Phone
- (949) 679-3988
- NPI assigned
- Sep 7, 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT304487 | CA | Primary |
Addresses
Primary practice location
2 Peters Canyon Rd Ste 100
Irvine, CA 92606-1798
Mailing address
7304 Payton
Irvine, CA 92620-3487
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)
2 Peters Canyon Rd
Suite 100
Irvine, CA 92606-1798
Phone (949) 679-3988
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT304487 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairbanks & Power Physical Therapy Corp. | Orthopedic | 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
24422 Avenida de la Carlota
Ste 100
Laguna Hills, CA 92653
Phone (949) 716-2730
9660 Haven Ave
Ste 130
Rancho Cucamonga, CA 91730
Phone (909) 269-5127
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1245016856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7304 PAYTON",
"city": "IRVINE",
"state": "CA",
"postal_code": "926203487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 PETERS CANYON RD STE 100",
"city": "IRVINE",
"state": "CA",
"postal_code": "926061798",
"telephone_number": "949-679-3988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOOMIS",
"first_name": "DEAN",
"middle_name": "WILLIAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-07",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT304487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.