Individual provider Active NPI

Christin Ann Ernst, D.P.T.

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1255432225
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT29748 Issued in CA
Practice address
10806 Willow CT
Suite 2
San Diego, CA 92127-2428
Phone
(858) 217-5837
Fax
(858) 217-5935
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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 PT29748 CA Primary

Addresses

Primary practice location

10806 Willow CT
Suite 2
San Diego, CA 92127-2428

Mailing address

9855 Erma Rd
Suite 106
San Diego, CA 92131-3001
Phone (858) 549-7111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050609001069 CA Practitioner - Physical Therapist in Private Practice 4688617640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Es3 Physical Therapy IncGroup PAC ID 2365859550, 5 clinicians

Practice addresses (Care Compare)

10425 Tierrasanta Blvd
Suite 102
San Diego, CA 92124-2618
Phone (858) 598-5055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29748CAMDGeneral Practice Dentistry
PT29748CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Es3 Physical Therapy Inc CurrentSince May 1, 2021 Accepting new patients

Locations

10425 Tierrasanta Blvd
Ste 102
San Diego, CA 92124
Phone (858) 598-5055

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1255432225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9855 ERMA RD",
            "address_2": "SUITE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921313001",
            "telephone_number": "858-549-7111",
            "fax_number": "858-549-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10806 WILLOW CT",
            "address_2": "SUITE 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921272428",
            "telephone_number": "858-217-5837",
            "fax_number": "858-217-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERNST",
        "first_name": "CHRISTIN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT29748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.