Angela Rose Eddy

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

54142 Issued in CA

Practice address

865 Third Ave Ste 105
Chula Vista, CA 91911-1349

Phone

(619) 500-8044

NPI assigned

Aug 4, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• MDRS Spine & Sport, Inc

  • Physical Therapist
  • Temecula, CA
  • NPI 1689824203
  NPD (past)
• MDRS Spine & Sport, Inc

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1952394603
  NPD (past)

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1699659615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7724 UNIVERSITY AVE APT A",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919424951",
            "telephone_number": "619-500-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 THIRD AVE STE 105",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111349",
            "telephone_number": "619-500-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDY",
        "first_name": "ANGELA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "54142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Eaton, PT
• Myra Kurtz Ebeling, RD
• Krista Madison Eberle, PA
• Sarah K Ebert
• Katerina Echegaray, LMFT
• Karynne F. Ednacot, FNP-C
• Eduardo Diaz Dental Corporation
• Edward Ayub M S a P C
• Edward L. Singer, M.D. Inc.
• Lauren Edwards

• Physical Therapy Assistant in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.