Active NPI
Alan J Edmundson, PT
- Physical Therapist
- Santa Barbara, CA
National Provider Identifier
1497932651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT12281
- Practice address
- 511 Bath St
Santa Barbara, CA 93101-3403 - Phone
- (805) 963-9377
- NPI assigned
- Jan 29, 2008
- Last updated
- Jan 29, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT12281 | CA | Primary |
Addresses
Primary practice location
511 Bath St
Santa Barbara, CA 93101-3403
Mailing address
511 Bath St
Santa Barbara, CA 93101-3403
Phone (805) 963-9377
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT12281 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201564800000",
"number": "1497932651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 BATH ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931013403",
"telephone_number": "805-963-9377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 BATH ST",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931013403",
"telephone_number": "805-963-9377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDMUNDSON",
"first_name": "ALAN",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-29",
"last_updated": "2008-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT12281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.