Individual provider Active NPI

Cole Darwin Niessink, PT

  • Physical Therapist
  • Oceanside, CA
National Provider Identifier
1497353270
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
298605 Issued in CA
Practice address
3905 Waring Rd
Oceanside, CA 92056-4405
Phone
(760) 724-9000
Fax
(760) 724-3686
NPI assigned
Oct 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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 298605 CA Primary

Addresses

Primary practice location

3905 Waring Rd
Oceanside, CA 92056-4405

Mailing address

10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Phone (760) 633-6507

Other practice location 1

1092 N El Camino Real
Encinitas, CA 92024-1367
Phone (760) 633-6507

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201130001551 CA Practitioner - Physical Therapist in Private Practice 1759792526 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scripps HealthGroup PAC ID 9234033853, 1,450 clinicians

Practice addresses (Care Compare)

1092 N El Camino Real
Encinitas, CA 92024-1367
Phone (760) 633-6057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
298605CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health CurrentSince Jan 30, 2023 Accepting new patients
Tri City Orthopaedic Surgery Medical Group Inc CurrentSince Oct 13, 2020 Accepting new patients
Tri-City Orthopaedic Surgery Medical Group Inc Physical Therapist CurrentSince Oct 13, 2020 Accepting new patients
Scripps Health CurrentSince Jan 30, 2023 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Current Accepting new patients
Scripps Clinic Medical Group Past Accepting new patients

Locations

1092 N El Camino Real
Encinitas, CA 92024
Phone (760) 633-6035

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

3905 Waring Rd
Oceanside, CA 92056
Phone (760) 477-1350

10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626

1958 Via Ctr
Vista, CA 92081
Phone (760) 477-1350

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1497353270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10790 RANCHO BERNARDO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921275705",
            "telephone_number": "760-633-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 WARING RD",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564405",
            "telephone_number": "760-724-9000",
            "fax_number": "760-724-3686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1092 N El Camino Real",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920241367",
            "country_code": "US",
            "telephone_number": "760-633-6507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIESSINK",
        "first_name": "COLE",
        "middle_name": "DARWIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-13",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "298605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.