Individual provider Active NPI

Nicolas Robert Escobar, PT, DPT

  • Physical Therapist
  • Redlands, CA
National Provider Identifier
1457231995
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
308747 Issued in CA
Practice address
2079 Orange Tree LN
Redlands, CA 92374-2849
Phone
(909) 353-7053
NPI assigned
Sep 4, 2025
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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 308747 CA Primary

Addresses

Primary practice location

2079 Orange Tree LN
Redlands, CA 92374-2849

Mailing address

31042 Granite St
Mentone, CA 92359-1502

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251029000864 CA Practitioner - Physical Therapist in Private Practice 2163911306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Citrus Valley Physical Therapy IncGroup PAC ID 8820466105, 5 clinicians

Practice addresses (Care Compare)

2079 Orange Tree LN
Redlands, CA 92374-2849
Phone (909) 435-5729

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
308747CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Newbody Inc CurrentSince Sep 8, 2025 Accepting new patients
Citrus Valley Physical Therapy Inc Physical Therapist CurrentSince Sep 8, 2025 Accepting new patients

Locations

2079 Orange Tree Ln
Redlands, CA 92374
Phone (909) 353-7053

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": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1457231995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31042 GRANITE ST",
            "city": "MENTONE",
            "state": "CA",
            "postal_code": "923591502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2079 ORANGE TREE LN",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742849",
            "telephone_number": "909-353-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBAR",
        "first_name": "NICOLAS",
        "middle_name": "ROBERT",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "308747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.