Edward Marcus Ayoub, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT28800 Issued in CA

Practice address

2210 Montgomery Ave Apt 5
Cardiff by the Sea, CA 92007-1924

Phone

(858) 692-4112

NPI assigned

Nov 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Edward Marcus Ayoub Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750450185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2433 LA COSTA AVE UNIT A",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920097320",
            "telephone_number": "858-692-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 MONTGOMERY AVE APT 5",
            "city": "CARDIFF BY THE SEA",
            "state": "CA",
            "postal_code": "920071924",
            "telephone_number": "858-692-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYOUB",
        "first_name": "EDWARD",
        "middle_name": "MARCUS",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDWARD",
            "last_name": "AYOUB",
            "middle_name": "MARCUS",
            "prefix": "MR.",
            "credential": "DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Physical Therapist in Cardiff by the Sea, CA
• Providers in Cardiff by the Sea, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.