NPIMap

Organization Active NPI

Eggleton & Langton Physical Therapy Management Services

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1881631505
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EGGLETON & LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES
Practice address
5030 Camino de la Siesta
#105
San Diego, CA 92108-3116
Phone
(619) 294-6088
Fax
(619) 220-6871
NPI assigned
Jun 1, 2006
Last updated
Feb 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Authorized official

Name
Sean Michael McKeown
Title
Authorized Official
Phone
(619) 295-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

5030 Camino de la Siesta
#105
San Diego, CA 92108-3116

Mailing address

5962 La Place CT
Ste 170
Carlsbad, CA 92008-8807
Phone (800) 929-4776

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ05344ZOtherCABLUE SHIELD

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

5030 Camino de la Siesta
Ste 105
San Diego, CA 92108
Phone (619) 294-6088

Practitioners & affiliated clinicians

Practitioners 1

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.

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": "1518480000000",
    "number": "1881631505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5962 LA PLACE CT",
            "address_2": "STE 170",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920088807",
            "telephone_number": "800-929-4776",
            "fax_number": "760-931-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 CAMINO DE LA SIESTA",
            "address_2": "#105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083116",
            "telephone_number": "619-294-6088",
            "fax_number": "619-220-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGGLETON & LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2018-02-13",
        "status": "A",
        "authorized_official_last_name": "MCKEOWN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "619-295-3000"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ05344Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 13, 2018; 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.