Individual provider Active NPI

Linda Ann Birkitt, REGISTERED PHYSICAL

  • Physical Therapist
  • San Juan Capistrano, CA
National Provider Identifier
1821284084
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT7631 Issued in CA
Practice address
30311 Camino Capistrano
San Juan Capistrano, CA 92675-1303
Phone
(949) 246-7784
Fax
(951) 678-3484
NPI assigned
Sep 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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 PT7631 CA Primary

Addresses

Primary practice location

30311 Camino Capistrano
San Juan Capistrano, CA 92675-1303

Mailing address

PO Box 541
San Juan Capistrano, CA 92693-0541
Phone (949) 246-7784

Other identifiers 1

IdentifierTypeStateIssuer
WPT7631AOtherCAPTAN

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT7631CAMDPhysical Therapist
7631CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Birkitt Rehabilitation Services Inc Physical Therapist Past Accepting new patients
Therapro Physical Therapist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1821284084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 541",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926930541",
            "telephone_number": "949-246-7784",
            "fax_number": "951-678-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30311 CAMINO CAPISTRANO",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751303",
            "telephone_number": "949-246-7784",
            "fax_number": "951-678-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRKITT",
        "first_name": "LINDA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "REGISTERED PHYSICAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-21",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT7631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "WPT7631A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.