Active NPI
Theresa Alvillar Eulberg, MPT
- Physical Therapist
- Forest Falls, CA
National Provider Identifier
1740797349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT26100
- Practice address
- 40944 Oak Drive
Forest Falls, CA 92339 - Phone
- (951) 505-8783
- Fax
- (951) 505-8783
- NPI assigned
- Jan 4, 2018
- Sex
- Female
- Sole proprietor
- No
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 | PT26100 | CA | Primary |
Addresses
Primary practice location
40944 Oak Drive
Forest Falls, CA 92339
Mailing address
PO Box 3
Forest Falls, CA 92339-0003
Phone (909) 649-2309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT26100 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515024000000",
"number": "1740797349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3",
"city": "FOREST FALLS",
"state": "CA",
"postal_code": "923390003",
"telephone_number": "909-649-2309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40944 OAK DRIVE",
"city": "FOREST FALLS",
"state": "CA",
"postal_code": "92339",
"telephone_number": "951-505-8783",
"fax_number": "951-505-8783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVILLAR EULBERG",
"first_name": "THERESA",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-04",
"last_updated": "2018-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT26100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Falls, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.