Individual provider Active NPI

Brett Lingelbach, DPT

  • Orthopedic Physical Therapist
  • Encinitas, CA
National Provider Identifier
1376206748
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT300728 Issued in CA
Practice address
201 S El Camino Real Ste a
Encinitas, CA 92024-4150
Phone
(760) 274-1671
NPI assigned
Oct 21, 2021
Last updated
Oct 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT300728 CA Primary

Addresses

Primary practice location

201 S El Camino Real Ste a
Encinitas, CA 92024-4150

Mailing address

1640 Jerrilynn PL
Encinitas, CA 92024-4757

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211028001759 CA Practitioner - Physical Therapist in Private Practice 9638567365 Reassigns benefits to 2 organizations

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
Peak Performance Physical Therapy PCGroup PAC ID 5496196776, 2 clinicians

Practice addresses (Care Compare)

247 S Hwy 101
Solana Beach, CA 92075-1807
Phone (760) 230-5432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT300728CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Performance Physical Therapy PC Orthopedic CurrentSince Aug 16, 2024 Accepting new patients
MDRS Spine & Sport, Inc Orthopedic CurrentSince Oct 11, 2021 Accepting new patients
MDRS Spine & Sport, Inc Orthopedic CurrentSince Oct 11, 2021 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

201 S El Camino Real
Ste A
Encinitas, CA 92024
Phone (760) 274-1671

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

247 S Highway 101
Solana Beach, CA 92075
Phone (760) 230-5432

Organizations & group practices 3

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": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1376206748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 JERRILYNN PL",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S EL CAMINO REAL STE A",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244150",
            "telephone_number": "760-274-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGELBACH",
        "first_name": "BRETT",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT300728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.