Individual provider Active NPI

Elizabeth Anne Philbin, PT, DPT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1720423866
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40144 Issued in CA
Practice address
4747 Mission Blvd Ste 4a
San Diego, CA 92109-2541
Phone
(858) 220-8213
Fax
(858) 581-6999
NPI assigned
May 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40144 CA Primary

Addresses

Primary practice location

4747 Mission Blvd Ste 4a
San Diego, CA 92109-2541

Mailing address

8235 Prospect Ave
Santee, CA 92071-3562
Phone (619) 917-8693

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130820000075 CA Practitioner - Physical Therapist in Private Practice 9436391554 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT First Physical Therapy PCGroup PAC ID 0446786230, 2 clinicians

Practice addresses (Care Compare)

4747 Mission Blvd
Suite 4a
San Diego, CA 92109-2541
Phone (619) 917-8693

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40144CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eggleton Langton Physical Therapy Management Services Physical Therapist CurrentSince Jan 2, 2013 Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist CurrentSince Jan 2, 2013 Accepting new patients
Tassinari Physical Therapy Inc Physical Therapist CurrentSince Apr 5, 2024 Accepting new patients
PT First Physical Therapy PC Physical Therapist CurrentSince Sep 23, 2024 Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients

Locations

2437 Fenton St
Ste B
Chula Vista, CA 91914
Phone (619) 656-5176

317 N El Camino Real
Ste 210
Encinitas, CA 92024
Phone (760) 337-1144

5905 Severin Dr
La Mesa, CA 91942
Phone (619) 589-2606

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1720423866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8235 PROSPECT AVE",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713562",
            "telephone_number": "619-917-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 MISSION BLVD STE 4A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092541",
            "telephone_number": "858-220-8213",
            "fax_number": "858-581-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILBIN",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-02",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "40144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.