NPIMap

Organization Active NPI

Eggleton & Langton Physical Therapy Management Services

Doing business as PRN Poway Physical Therapy

  • Multi-Specialty Clinic/Center
  • San Diego, CA
National Provider Identifier
1770520496
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
EGGLETON & LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES
Doing business as
PRN Poway Physical Therapy
Practice address
15373 Innovation Dr Ste 220
San Diego, CA 92128-3425
Phone
(858) 592-8855
Fax
(858) 592-8858
NPI assigned
Jun 1, 2006
Last updated
Jul 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Rob Pace
Title
Authorized Official
Phone
(760) 268-7500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Physical Therapist 225100000X

Addresses

Primary practice location

15373 Innovation Dr Ste 220
San Diego, CA 92128-3425

Mailing address

5905 Severin Dr
La Mesa, CA 91942-3806
Phone (619) 589-2606

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ05343ZOtherCABLUE SHIELD

Other names 1

  • PRN Poway Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040122001219 CA Part B Supplier - Clinic/Group Practice 0840192530 Receives reassigned benefits from 100 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Spring Valley, CA; San Diego, CA; La Mesa, CA; Encinitas, CA; El Centro, CA; El Cajon, CA; Chula Vista, CA; Carlsbad, CA…

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

National Provider Directory

National Provider Directory
Tax ID family
Eggleton Langton Physical Therapy Management Services13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15725 Pomerado Rd
Ste 106
Poway, CA 92064
Phone (858) 487-4770

15373 Innovation Dr
Ste 220
San Diego, CA 92128
Phone (858) 400-8281

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1770520496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 SEVERIN DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423806",
            "telephone_number": "619-589-2606",
            "fax_number": "619-464-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15373 INNOVATION DR STE 220",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283425",
            "telephone_number": "858-592-8855",
            "fax_number": "858-592-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGGLETON & LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "760-268-7500"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ05343Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRN Poway Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PRN Poway Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.