Active NPI
Sivan Eckert
- Physical Therapist
- Fountain Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 304085
- Practice address
- 18785 Brookhurst St Ste 104
Fountain Valley, CA 92708-7300 - Phone
- (657) 301-4967
- NPI assigned
- May 25, 2023
- Last updated
- May 25, 2023
- Sex
- Female
- 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 | 304085 | CA | Primary |
Addresses
Primary practice location
18785 Brookhurst St Ste 104
Fountain Valley, CA 92708-7300
Mailing address
18785 Brookhurst St Ste 104
Fountain Valley, CA 92708-7300
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18785 Brookhurst St
Suite 104
Fountain Valley, CA 92708-7300
Phone (657) 301-4967
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304085 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Rehabilitation & Sports Therapy a California Physical Ther | Physical Therapist | Current | Accepting new patients |
| California Rehab & Sports Therapy | Current | Accepting new patients |
Locations
505 N Euclid St
Ste 680
Anaheim, CA 92801
Phone (714) 780-0010
2035 Corte del Nogal
Ste 200
Carlsbad, CA 92011
Phone (760) 931-8310
4755 Katella Ave
Ste 101
Cypress, CA 90720
Phone (657) 213-8687
11420 Warner Ave
Ste B
Fountain Valley, CA 92708
Phone (657) 204-2959
18785 Brookhurst St
Ste 104
Fountain Valley, CA 92708
Phone (657) 301-4967
18682 Beach Blvd
Ste 160
Huntington Beach, CA 92648
Phone (714) 378-1300
7071 Warner Ave
Ste A
Huntington Beach, CA 92647
Phone (714) 847-3800
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba California Rehabilitation & Sports Therapy
- Multi-Specialty Clinic/Center
- Mission Viejo, CA
- NPI 1386696409
Physical Therapist
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1508540279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1689366700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18785 BROOKHURST ST STE 104",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18785 BROOKHURST ST STE 104",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087300",
"telephone_number": "657-301-4967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKERT",
"first_name": "SIVAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-25",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "304085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.