Individual provider Active NPI

Audrey Ang, PT, DPT

  • Physical Therapist
  • Chula Vista, CA
National Provider Identifier
1649952250
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1020 Tierra del Rey # a-1
Chula Vista, CA 91910-7886
Phone
(619) 585-7104
NPI assigned
Aug 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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 Primary

Addresses

Primary practice location

1020 Tierra del Rey # a-1
Chula Vista, CA 91910-7886

Mailing address

1909 Carennac PL Apt 55
Chula Vista, CA 91913-5030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230914004185 CA Practitioner - Physical Therapist in Private Practice 2668836255 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barman and Sargent IncGroup PAC ID 2163317025, 15 clinicians

Practice addresses (Care Compare)

3550 Alameda de Las Pulgas
Menlo Park, CA 94025-6559
Phone (650) 926-9413

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Aug 2, 2023 Accepting new patients
Barman & Sargent Inc CurrentSince Oct 7, 2024 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Aug 2, 2023 Accepting new patients

Locations

450 Rosewood Ave
Ste 105
Camarillo, CA 93010
Phone (805) 389-4781

1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104

315 Diablo Rd
Ste 110
Danville, CA 94526
Phone (925) 855-8343

14150 Culver Dr
Ste 103
Irvine, CA 92604
Phone (949) 262-9142

3550 Alameda de las Pulgas
Menlo Park, CA 94025
Phone (650) 926-9413

9852 Business Park Dr
Ste A
Sacramento, CA 95827
Phone (916) 362-7962

585 Saturn Blvd
Ste A
San Diego, CA 92154
Phone (619) 591-1190

1801 Cleveland Ave
Ste B
Santa Rosa, CA 95401
Phone (707) 526-4180

5850 Canoga Ave
Ste 120
Woodland Hills, CA 91367
Phone (747) 255-4089

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": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1649952250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 CARENNAC PL APT 55",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919135030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 TIERRA DEL REY # A-1",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107886",
            "telephone_number": "619-585-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANG",
        "first_name": "AUDREY",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.