Individual provider Active NPI

Robert Joseph King

  • Physical Therapist
  • Rancho Santa Margarita, CA
National Provider Identifier
1306590559
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
301661 Issued in CA
Practice address
23121 Antonio Pkwy
Rancho Santa Margarita, CA 92688-2658
Phone
(949) 713-6445
NPI assigned
Feb 7, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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 301661 CA Primary

Addresses

Primary practice location

23121 Antonio Pkwy
Rancho Santa Margarita, CA 92688-2658

Mailing address

23121 Antonio Pkwy Ste 100
Rancho Santa Margarita, CA 92688-2660
Phone (949) 291-2679

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220329000464 CA Practitioner - Physical Therapist in Private Practice 5496140584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MDRS Spine and Sport IncGroup PAC ID 3274446687, 181 clinicians

Practice addresses (Care Compare)

23121 Antonio Pkwy
Suite 100
Rancho Santa Margarita, CA 92688-2660
Phone (949) 713-6445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Feb 4, 2022 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Feb 4, 2022 Accepting new patients

Locations

450 Rosewood Ave
Ste 105
Camarillo, CA 93010
Phone (805) 389-4781

1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104

24591 Del Prado
Dana Point, CA 92629
Phone (949) 620-3910

14150 Culver Dr
Ste 103
Irvine, CA 92604
Phone (949) 262-9142

3745 Avocado Blvd
La Mesa, CA 91941
Phone (619) 485-8071

1449 W Chapman Ave
Orange, CA 92868
Phone (657) 500-2440

23121 Antonio Pkwy
Ste 100
Rcho Sta Marg, CA 92688
Phone (949) 713-1361

9852 Business Park Dr
Ste A
Sacramento, CA 95827
Phone (916) 362-7962

3760 Convoy St
Ste 101
San Diego, CA 92111
Phone (858) 264-1434

1801 Cleveland Ave
Ste B
Santa Rosa, CA 95401
Phone (707) 526-4180

Organizations & group practices 2

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": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1306590559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23121 ANTONIO PKWY STE 100",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882660",
            "telephone_number": "949-291-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23121 ANTONIO PKWY",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882658",
            "telephone_number": "949-713-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.