Individual provider Active NPI

Daniel Falchetti, PT, MPT

  • Physical Therapist
  • Tustin, CA
National Provider Identifier
1255304242
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24798 Issued in CA
Practice address
2492 Walnut Avenue, #140
Tustin, CA 92780-6953
Phone
(714) 544-2188
Fax
(714) 544-2189
NPI assigned
Feb 9, 2006
Last updated
Feb 25, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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 PT24798 CA Primary

Addresses

Primary practice location

2492 Walnut Avenue, #140
Tustin, CA 92780-6953

Mailing address

2492 Walnut Avenue, #140
Tustin, CA 92780-6953
Phone (714) 544-2188

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060418000243 CA Practitioner - Physical Therapist in Private Practice 3476562505 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians
State-of-the-Art Physical Therapy, Inc.Group PAC ID 5496948952, 10 clinicians

Practice addresses (Care Compare)

16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175

2492 Walnut Ave
Tustin, CA 92780-6953
Phone (714) 544-2188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24798CAMDCritical Care Registered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
State-of-the-Art Physical Therapy, Inc. Physical Therapist CurrentSince Jul 1, 2011 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Aug 8, 2022 Accepting new patients
Scor Physical Therapy Inc Physical Therapist CurrentSince Nov 26, 2007 Accepting new patients
Mariners Physical Therapy, Inc. Physical Therapist PastSince Oct 22, 2007 Accepting new patients
Southern California Spine and Sport Medical Associates, Inc PastSince Jul 1, 2016 Accepting new patients

Locations

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 409-4167

653 Camino de los Mares
Ste 110
San Clemente, CA 92673
Phone (949) 496-0122

2492 Walnut Ave
Ste 140
Tustin, CA 92780
Phone (714) 544-2188

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17238/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1255304242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2492 WALNUT AVENUE, #140",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806953",
            "telephone_number": "714-544-2188",
            "fax_number": "714-544-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2492 WALNUT AVENUE, #140",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806953",
            "telephone_number": "714-544-2188",
            "fax_number": "714-544-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALCHETTI",
        "first_name": "DANIEL",
        "credential": "PT, MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT24798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.