Individual provider Active NPI

Robert Louis Tendick, P.T.

  • Physical Therapist
  • El Cajon, CA
National Provider Identifier
1548574379
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 36981 Issued in CA
Practice address
1663 Greenfield Dr
El Cajon, CA 92021-3520
Phone
(619) 440-5752
Fax
(619) 440-6861
NPI assigned
Aug 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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 PT 36981 CA Primary

Addresses

Primary practice location

1663 Greenfield Dr
El Cajon, CA 92021-3520

Mailing address

317 N El Camino Real
#210
Encinitas, CA 92024-2811
Phone (760) 634-0248

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101129000792 CA Practitioner - Physical Therapist in Private Practice 1850587148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10225 Austin Dr
Suite 204
Spring Valley, CA 91978-1522
Phone (619) 670-4567

1663 Greenfield Dr
El Cajon, CA 92021-3520
Phone (619) 440-5752

488 E Valley Pkwy
Suite 315
Escondido, CA 92025-3377
Phone (442) 777-0973

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 36981CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist CurrentSince Jul 30, 2010 Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients

Locations

1663 Greenfield Dr
El Cajon, CA 92021
Phone (619) 401-7913

317 N El Camino Real
Ste 210
Encinitas, CA 92024
Phone (760) 337-1144

488 E Valley Pkwy
Ste 315
Escondido, CA 92025
Phone (619) 489-5555

4435 Eastgate Mall
Ste 120
San Diego, CA 92121
Phone (858) 578-8669

10225 Austin Dr
Ste 204
Spring Valley, CA 91978
Phone (619) 670-4567

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1548574379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 N EL CAMINO REAL",
            "address_2": "#210",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242811",
            "telephone_number": "760-634-0248",
            "fax_number": "760-634-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1663 GREENFIELD DR",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920213520",
            "telephone_number": "619-440-5752",
            "fax_number": "619-440-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENDICK",
        "first_name": "ROBERT",
        "middle_name": "LOUIS",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-04",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 36981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.