Individual provider Active NPI

Carrie Ann Loomis, PT, MPT

  • Physical Therapist
  • Oceanside, CA
National Provider Identifier
1255316733
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24870 Issued in CA
Practice address
1630 Ridgeway St
Oceanside, CA 92054-5637
Phone
(760) 688-9089
NPI assigned
Dec 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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 PT24870 CA Primary

Addresses

Primary practice location

1630 Ridgeway St
Oceanside, CA 92054-5637

Mailing address

403 Ali Way
Fallbrook, CA 92028-3900
Phone (760) 535-9815

Other practice location 1

577 E Elder St Ste I
Fallbrook, CA 92028
Phone (760) 723-2687

Other identifiers 2

IdentifierTypeStateIssuer
P01453018OtherCARR MEDICARE
0PT248700OtherCABLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080311000569 CA Practitioner - Physical Therapist in Private Practice 6507941838 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
All Star Physical TherapyGroup PAC ID 7719030949, 149 clinicians

Practice addresses (Care Compare)

577 E Elder St
Suite I
Fallbrook, CA 92028-3079
Phone (760) 723-2687

Merit-based Incentive Payment System (MIPS)

Final score
78.46 of 100Reported as individual
Quality
74.66
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24870CAMDOral and Maxillofacial Surgery (Dentist)
PT24870CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
All Star Physical Therapy Physical Therapist CurrentSince Oct 1, 2013 Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist Past Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist Past Accepting new patients

Locations

16008 Kamana Rd
Ste 200
Apple Valley, CA 92307
Phone (760) 810-7767

577 E Elder St
Ste I
Fallbrook, CA 92028
Phone (760) 723-2687

1338 Main St
Ramona, CA 92065
Phone (760) 789-1400

29645 Rancho California Rd
Ste 234
Temecula, CA 92591
Phone (951) 506-3001

Organizations & group practices 4

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": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1255316733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 ALI WAY",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283900",
            "telephone_number": "760-535-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 RIDGEWAY ST",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920545637",
            "telephone_number": "760-688-9089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "577 E Elder St Ste I",
            "address_purpose": "LOCATION",
            "city": "Fallbrook",
            "state": "CA",
            "postal_code": "92028",
            "country_code": "US",
            "telephone_number": "760-723-2687",
            "fax_number": "760-723-2689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOOMIS",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "credential": "PT, MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT24870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01453018",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0PT248700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, 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.

Verify at the official NPI Registry.