Johnnie Edwin Durbin

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

298350 Issued in CA

Practice address

230 Birmingham Dr
Cardiff by the Sea, CA 92007-1722

Phone

(760) 230-1377

Fax

(888) 324-4764

NPI assigned

Dec 9, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment Care Compare group NPD
• Function for Life Physical Therapy, Inc.

  • Physical Therapist
  • Carlsbad, CA
  • NPI 1568767309
  Medicare reassignment NPD
• Highline Physical Therapy

  • Physical Therapist
  • Cardiff by the Sea, CA
  • NPI 1831897123
  Medicare reassignment NPD

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1639775141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 BIRMINGHAM DR",
            "city": "CARDIFF BY THE SEA",
            "state": "CA",
            "postal_code": "920071722",
            "telephone_number": "760-230-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BIRMINGHAM DR",
            "city": "CARDIFF BY THE SEA",
            "state": "CA",
            "postal_code": "920071722",
            "telephone_number": "760-230-1377",
            "fax_number": "888-324-4764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 N Coast Highway 101 Ste B",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920241056",
            "country_code": "US",
            "telephone_number": "760-230-1377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURBIN",
        "first_name": "JOHNNIE",
        "middle_name": "EDWIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-09",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "298350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Page Clancy, APCC
• Clearfast, Inc
• Comprehensive Human Services Inc.
• Elissa Rose Dubois, BCBA, M.S
• Daniel Abraham Duel, MD
• Angela Dawn Eastvold, PHD
• Evan Eropkin
• Brian Finn, ATC
• Amanda Allen Flyckt, OTD, OTR/L
• Emily Gill Garnica, LCSW

• Physical Therapist in Cardiff by the Sea, CA
• Providers in Cardiff by the Sea, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.