Active NPI
Kristofer Auer, DPT
- Physical Therapist
- Yucaipa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 38407
- Practice address
- 31776 Yucaipa Blvd Ste 8
Yucaipa, CA 92399-1653 - Phone
- (916) 276-4621
- NPI assigned
- Apr 25, 2021
- Last updated
- Apr 25, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 38407 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kore Rehab | Multi-Specialty | Current | 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.