Active NPI
Carrie Ann Loomis, PT, MPT
- Physical Therapist
- Oceanside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT24870
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01453018 | Other | CA | RR MEDICARE |
| 0PT248700 | Other | CA | BLUE SHIELD |
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, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 74.66
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24870 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
| PT24870 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Star Physical Therapy | Physical Therapist | Current | 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.
-
- Physical Therapist
- Murrieta, CA
- NPI 1750559431
-
- Physical Therapist
- Oceanside, CA
- NPI 1962843078
-
- Physical Therapist
- Pacific Palisades, CA
- NPI 1417242454
-
- Physical Therapist
- Temecula, CA
- NPI 1679541320
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.