Active NPI
Dustin Corey Hancock, DPT
- Physical Therapist
- San Juan Capistrano, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 38772
- Practice address
- 31896 Plaza Dr Ste E3
San Juan Capistrano, CA 92675-3724 - Phone
- (949) 312-2485
- Fax
- (949) 312-2856
- NPI assigned
- Mar 7, 2012
- 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 | 38772 | CA | Primary |
Addresses
Primary practice location
31896 Plaza Dr Ste E3
San Juan Capistrano, CA 92675-3724
Mailing address
31878 Del Obispo St Ste 118-426
San Juan Capistrano, CA 92675-3223
Phone (949) 298-5403
Other practice location 1
25971 Pala Ste 110
Mission Viejo, CA 92691-2742
Phone (949) 465-9500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
31896 Plaza Dr
Suite E3
San Juan Capistrano, CA 92675-3724
Phone (949) 312-2485
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38772 | CA | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Define Wellness and Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Rausch Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Deborah Weinstein Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Balance Rehabilitation, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
31896 Plaza Dr
Ste E3
San Juan Capistrano, CA 92675
Phone (949) 312-2485
31878 Del Obispo St
Ste 118426
San Juan Capistrano, CA 92675
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- San Juan Capistrano, CA
- NPI 1043816051
Physical Therapist
-
- Orthopedic Physical Therapist
- Lake Forest, CA
- NPI 1184734931
-
- Physical Therapist
- Laguna Niguel, CA
- NPI 1881961258
-
- Physical Therapy Clinic/Center
- Laguna Niguel, CA
- NPI 1538110861
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1659645604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31878 DEL OBISPO ST STE 118-426",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926753223",
"telephone_number": "949-298-5403",
"fax_number": "949-312-2856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31896 PLAZA DR STE E3",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926753724",
"telephone_number": "949-312-2485",
"fax_number": "949-312-2856"
}
],
"practiceLocations": [
{
"address_1": "25971 Pala Ste 110",
"address_purpose": "LOCATION",
"city": "Mission Viejo",
"state": "CA",
"postal_code": "926912742",
"country_code": "US",
"telephone_number": "949-465-9500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANCOCK",
"first_name": "DUSTIN",
"middle_name": "COREY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-07",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "38772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan Capistrano, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.