Individual provider Active NPI

Kristofer Auer, DPT

  • Physical Therapist
  • Yucaipa, CA
National Provider Identifier
1699357079
Registry record updated Apr 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
38407 Issued in CA
Practice address
31776 Yucaipa Blvd Ste 8
Yucaipa, CA 92399-1653
Phone
(916) 276-4621
NPI assigned
Apr 25, 2021
Last updated
Apr 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 38407 CA Primary
Sports Physical Therapist 2251S0007X 38407 CA
Orthopedic Physical Therapist 2251X0800X 38407 CA

Addresses

Primary practice location

31776 Yucaipa Blvd Ste 8
Yucaipa, CA 92399-1653

Mailing address

10964 Golden Hills Dr
Yucaipa, CA 92399-3312
Phone (916) 276-4621

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210916002477 CA Practitioner - Physical Therapist in Private Practice 2365848447 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

31776 Yucaipa Blvd
Yucaipa, CA 92399-1653
Phone (916) 276-4621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38407CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kore Rehab Multi-Specialty CurrentSince Jan 1, 2021 Accepting new patients

Locations

31776 Yucaipa Blvd
Ste 1
Yucaipa, CA 92399
Phone (916) 276-4621

31776 Yucaipa Blvd
Ste 8
Yucaipa, CA 92399
Phone (916) 276-4621

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1619308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619308800000",
    "number": "1699357079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10964 GOLDEN HILLS DR",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923993312",
            "telephone_number": "916-276-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31776 YUCAIPA BLVD STE 8",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923991653",
            "telephone_number": "916-276-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUER",
        "first_name": "KRISTOFER",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-25",
        "last_updated": "2021-04-25",
        "certification_date": "2021-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38407",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "38407",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "38407",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucaipa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2021; 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.