Individual provider Active NPI

Alison Rae McClintock, PT

  • Physical Therapist
  • Garden Grove, CA
National Provider Identifier
1922526094
Registry record updated Sep 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
293265 Issued in CA
Practice address
14221 Euclid St Ste F
Garden Grove, CA 92843-4991
Phone
(714) 891-2739
NPI assigned
Sep 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 293265 CA
Orthopedic Physical Therapist 2251X0800X 293265 CA
Physical Therapist 225100000X 293265 CA Primary

Addresses

Primary practice location

14221 Euclid St Ste F
Garden Grove, CA 92843-4991

Mailing address

7873 E Rainview CT
Anaheim, CA 92808-2111

Other names 1

  • Alison Rae Stapleton Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210505000613 CA Practitioner - Physical Therapist in Private Practice 2163785833 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
293265CAMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Alliance Medical Group Inc Current Accepting new patients
Prior Level Home Care Physical Therapy Inc. CurrentSince Nov 14, 2017 Accepting new patients
Dynamik Rehab Inc Physical Therapist PastSince Sep 10, 2024 Accepting new patients
Dynamix Physical Therapy Inc. Physical Therapist PastSince Sep 20, 2016 Accepting new patients

Locations

1200 California St
Ste 112
Redlands, CA 92374
Phone (909) 312-7099

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJCEDD

Organizations & group practices 4

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": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504828800000",
    "number": "1922526094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7873 E RAINVIEW CT",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928082111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14221 EUCLID ST STE F",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434991",
            "telephone_number": "714-891-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLINTOCK",
        "first_name": "ALISON",
        "middle_name": "RAE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2017-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "293265",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "293265",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "293265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISON",
            "last_name": "STAPLETON",
            "middle_name": "RAE",
            "credential": "DPT, PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2017; 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.