Individual provider Active NPI

Cheryl C Estoesta, PHYSICAL THERAPY

  • Physical Therapist
  • Carlsbad, CA
National Provider Identifier
1346524436
Registry record updated Oct 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 37723 Issued in CA
Practice address
5050 Avenida Encinas
Suite# 250
Carlsbad, CA 92008-4381
Phone
(760) 729-5433
Fax
(760) 621-5680
NPI assigned
Oct 6, 2011
Last updated
Oct 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2017

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 PT 37723 CA Primary

Addresses

Primary practice location

5050 Avenida Encinas
Suite# 250
Carlsbad, CA 92008-4381

Mailing address

1860 El Camino Real
Ste 420
Burlingame, CA 94010-3117
Phone (650) 652-2376

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171108001161 CA Practitioner - Physical Therapist in Private Practice 5193081123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1555 Old Bayshore Hwy
Suite 100
Burlingame, CA 94010-1617
Phone (650) 652-2376

1941 Ofarrell St
Suite 115
San Mateo, CA 94403-1374
Phone (650) 343-5678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37723CAMDLicensed Psychiatric Technician
PT 37723CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Corkish and Lew a Professional Physical Therapy Corporation Physical Therapist CurrentSince Sep 20, 2017 Accepting new patients
Active Life Rehab, Inc. Physical Therapist Past Accepting new patients

Locations

1860 El Camino Real
Ste 420
Burlingame, CA 94010
Phone (650) 652-2376

1941 Ofarrell St
Ste 115
San Mateo, CA 94403
Phone (650) 343-5678

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, 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": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507161600000",
    "number": "1346524436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 EL CAMINO REAL",
            "address_2": "STE 420",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103117",
            "telephone_number": "650-652-2376",
            "fax_number": "650-652-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 AVENIDA ENCINAS",
            "address_2": "SUITE# 250",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920084381",
            "telephone_number": "760-729-5433",
            "fax_number": "760-621-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTOESTA",
        "first_name": "CHERYL",
        "middle_name": "C",
        "credential": "PHYSICAL THERAPY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2017-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 37723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.