Paul Christopher Egbert, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

291117 Issued in CA

Practice address

41769 Enterprise Cir N
Suite 104 & 105
Temecula, CA 92590-5626

Phone

(951) 303-8255

Fax

(951) 719-3429

NPI assigned

Feb 9, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1386002012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41769 ENTERPRISE CIR N",
            "address_2": "SUITE 104 & 105",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905626",
            "telephone_number": "951-303-8255",
            "fax_number": "951-719-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41769 ENTERPRISE CIR N",
            "address_2": "SUITE 104 & 105",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905626",
            "telephone_number": "951-303-8255",
            "fax_number": "951-719-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGBERT",
        "first_name": "PAUL",
        "middle_name": "CHRISTOPHER",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "291117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Edwards, MA SLP-CCC
• Heidi Suzanne Edwards, MS
• Jessica Marie Edwards
• Mia Edwards
• Deborah Jo Effinger, N.P.
• Jodi Eggering
• Amy Ehlers, PHARMD
• Carly E Eichler
• Laurie Jean Eichler
• Sagel P Ejantkar, DO

• Physical Therapist in Temecula, CA
• Providers in Temecula, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.