Individual provider Active NPI

Samuel Feist, PT

  • Physical Therapist
  • Encinitas, CA
National Provider Identifier
1790409514
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
302958 Issued in CA
Practice address
227 N El Camino Real Ste 100
Encinitas, CA 92024-5821
Phone
(760) 452-2640
NPI assigned
Sep 27, 2022
Last updated
Sep 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 302958 CA Primary

Addresses

Primary practice location

227 N El Camino Real Ste 100
Encinitas, CA 92024-5821

Mailing address

920 Brooktree LN Apt 82
Vista, CA 92081-8638
Phone (858) 213-6145

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230227002102 CA Practitioner - Physical Therapist in Private Practice 6002289857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
G3 Physical Therapy and Wellness Center PCGroup PAC ID 6204139744, 15 clinicians

Practice addresses (Care Compare)

227 N El Camino Real
Suite 100
Encinitas, CA 92024-5821
Phone (760) 452-2640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
G3 Physical Therapy and Wellness Center PC Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients

Locations

227 N El Camino Real
Ste 100
Encinitas, CA 92024
Phone (760) 205-1500

740 Lomas Santa Fe Dr
Ste 208
Solana Beach, CA 92075
Phone (760) 452-2640

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, 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": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1790409514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 BROOKTREE LN APT 82",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920818638",
            "telephone_number": "858-213-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 N EL CAMINO REAL STE 100",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245821",
            "telephone_number": "760-452-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEIST",
        "first_name": "SAMUEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.