Individual provider Active NPI

Corey Esquivias, PT, DPT

  • Physical Therapist
  • Carlsbad, CA
National Provider Identifier
1245063510
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
306701 Issued in CA
Practice address
3257 Camino de Los Coches Ste 301
Carlsbad, CA 92009-8974
Phone
(760) 652-5236
NPI assigned
Aug 22, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 306701 CA Primary

Addresses

Primary practice location

3257 Camino de Los Coches Ste 301
Carlsbad, CA 92009-8974

Mailing address

1084 N El Camino Real # B-351
Encinitas, CA 92024-1334
Phone (760) 918-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240911004561 CA Practitioner - Physical Therapist in Private Practice 2163962523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Function for Life Physical Therapy IncGroup PAC ID 3678758489, 36 clinicians

Practice addresses (Care Compare)

3257 Camino de Los Coches
Suite 301
Carlsbad, CA 92009-8974
Phone (760) 918-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
306701CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Function for Life Physical Therapy, Inc. Physical Therapist CurrentSince Aug 15, 2024 Accepting new patients

Locations

3257 Camino de los Coches
Ste 301
Carlsbad, CA 92009
Phone (760) 652-5236

1084 N El Camino Real
#B351
Encinitas, CA 92024

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": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1245063510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1084 N EL CAMINO REAL # B-351",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241334",
            "telephone_number": "760-918-9200",
            "fax_number": "760-918-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3257 CAMINO DE LOS COCHES STE 301",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920098974",
            "telephone_number": "760-652-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESQUIVIAS",
        "first_name": "COREY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.