Individual provider Active NPI

Antonia Caroline Flynn, DPT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1932496973
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
37898 Issued in CA
Practice address
5677 Oberlin Dr
Suite 106
San Diego, CA 92121-1740
Phone
(858) 457-8419
Fax
(858) 457-0670
NPI assigned
Jun 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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 37898 CA Primary

Addresses

Primary practice location

5677 Oberlin Dr
Suite 106
San Diego, CA 92121-1740

Mailing address

5677 Oberlin Dr
Suite 106
San Diego, CA 92121-1740
Phone (858) 457-8419

Other names 1

  • Ms. Antonia Caroline Haggarty Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120427000567 CA Practitioner - Physical Therapist in Private Practice 4688836141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Craig-Jones and Flynn Physical Therapy PCGroup PAC ID 8628383411, 9 clinicians

Practice addresses (Care Compare)

713 Mission Ave B
Oceanside, CA 92054-2852
Phone (760) 815-5205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37898CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Craig-Jones and Flynn Physical Therapy PC Physical Therapist CurrentSince Nov 30, 2016 Accepting new patients
Angela Yvonne Acupuncture Inc PastSince Apr 13, 2015 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": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1932496973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5677 OBERLIN DR",
            "address_2": "SUITE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211740",
            "telephone_number": "858-457-8419",
            "fax_number": "858-457-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5677 OBERLIN DR",
            "address_2": "SUITE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211740",
            "telephone_number": "858-457-8419",
            "fax_number": "858-457-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "ANTONIA",
        "middle_name": "CAROLINE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "37898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTONIA",
            "last_name": "HAGGARTY",
            "middle_name": "CAROLINE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Apr 13, 2015; 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.