Active NPI
Peter Engle, PHYSICAL THERAPIST
- Physical Therapist
- Santa Barbara, CA
National Provider Identifier
1740324755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23630
- Practice address
- 3887 State St
10
Santa Barbara, CA 93105-3125 - Phone
- (805) 569-8780
- Fax
- (805) 682-3035
- NPI assigned
- Feb 16, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 23630 | CA | Primary |
Addresses
Primary practice location
3887 State St
10
Santa Barbara, CA 93105-3125
Mailing address
4028 Via Zorro # a
Santa Barbara, CA 93110-1813
Phone (805) 689-4903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050621000532 | CA | Practitioner - Physical Therapist in Private Practice | 3476598475 | Practice locations: Santa Barbara, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
350 S Hope Ave
Suite A105
Santa Barbara, CA 93105-5023
Phone (805) 689-4903
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23630 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montana Rehabilitation Therapy | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Hand Occupational Therapist
- Oxnard, CA
- NPI 1689601114
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362960000000",
"number": "1740324755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4028 VIA ZORRO # A",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931101813",
"telephone_number": "805-689-4903",
"fax_number": "805-308-4592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3887 STATE ST",
"address_2": "10",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931053125",
"telephone_number": "805-569-8780",
"fax_number": "805-682-3035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGLE",
"first_name": "PETER",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2013-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "23630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.