Individual provider Active NPI

Carina Escudero Testa, DPT

  • Orthopedic Physical Therapist
  • Hermosa Beach, CA
National Provider Identifier
1760506729
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT21285 Issued in CA
Practice address
1035 Aviation Blvd
Hermosa Beach, CA 90254-4023
Phone
(310) 937-2323
Fax
(310) 937-3399
NPI assigned
Mar 16, 2007
Last updated
Nov 25, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT21285 CA Primary

Addresses

Primary practice location

1035 Aviation Blvd
Hermosa Beach, CA 90254-4023

Mailing address

1035 Aviation Blvd
Hermosa Beach, CA 90254-4023
Phone (310) 937-2323

Other identifiers 1

IdentifierTypeStateIssuer
PT21285OtherCAPT LICENSE

Other names 1

  • Carina Michele Escudero Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040623001689 CA Practitioner - Physical Therapist in Private Practice 9133104961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aim Sports Medicine and Physical Therapy IncGroup PAC ID 2163582990, 7 clinicians

Practice addresses (Care Compare)

1035 Aviation Blvd
Hermosa Beach, CA 90254-4023
Phone (310) 937-2323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT21285CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aim Sports Medicine and Physical Therapy Inc Orthopedic CurrentSince Jan 1, 2008 Accepting new patients
Frank E Kaden D C Chiropractic Inc CurrentSince Jan 1, 2008 Accepting new patients

Locations

1035 Aviation Blvd
Hermosa Beach, CA 90254
Phone (310) 251-0862

2407 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (310) 796-6955

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448409600000",
    "number": "1760506729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 AVIATION BLVD",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902544023",
            "telephone_number": "310-937-2323",
            "fax_number": "310-937-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 AVIATION BLVD",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902544023",
            "telephone_number": "310-937-2323",
            "fax_number": "310-937-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESTA",
        "first_name": "CARINA",
        "middle_name": "ESCUDERO",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2015-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT21285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT21285",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARINA",
            "last_name": "ESCUDERO",
            "middle_name": "MICHELE",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hermosa Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.