Active NPI
Edward J. Kane, PT,PHD,ATC,ECS,SCS
- Clinical Electrophysiology Physical Therapist
- San Marcos, CA
National Provider Identifier
1477524635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Electrophysiology Physical Therapist
- License
- 41
- Practice address
- 700 Windy Point Dr
San Marcos, CA 92069-1701 - Phone
- (760) 591-3012
- Fax
- (760) 591-3053
- NPI assigned
- Jan 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11437 | CA | |
| Clinical Electrophysiology Physical Therapist | 2251E1300X | 41 | CA | Primary |
| Sports Physical Therapist | 2251S0007X | |||
| Athletic Trainer | 2255A2300X |
Addresses
Primary practice location
700 Windy Point Dr
San Marcos, CA 92069-1701
Mailing address
700 Windy Point Dr
San Marcos, CA 92069-1701
Phone (760) 591-3012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250640000000",
"number": "1477524635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 WINDY POINT DR",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920691701",
"telephone_number": "760-591-3012",
"fax_number": "760-591-3053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 WINDY POINT DR",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920691701",
"telephone_number": "760-591-3012",
"fax_number": "760-591-3053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANE",
"first_name": "EDWARD",
"middle_name": "J.",
"credential": "PT,PHD,ATC,ECS,SCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2009-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "11437",
"primary": false
},
{
"code": "2251E1300X",
"taxonomy_group": "",
"desc": "Physical Therapist, Electrophysiology, Clinical",
"state": "CA",
"license": "41",
"primary": true
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.