Kaitlin Endo, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT295790 Issued in CA

Practice address

380 Diablo Rd Ste 201
Danville, CA 94526-3410

Phone

(925) 552-5787

Fax

(925) 552-6173

NPI assigned

Dec 17, 2018

Last updated

Dec 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Care Physical Therapy IncGroup PAC ID 3870987985, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Community Care Physical Therapy Inc.

  • Occupational Therapist
  • San Diego, CA
  • NPI 1942967617

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1932670973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 DIABLO RD STE 201",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945263410",
            "telephone_number": "925-552-5787",
            "fax_number": "925-552-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 DIABLO RD STE 201",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945263410",
            "telephone_number": "925-552-5787",
            "fax_number": "925-552-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDO",
        "first_name": "KAITLIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT295790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Brett Eisan, MD
• Elite MD, Inc
• Samantha Rose Ellis, M.D.
• Nashwa Aziz Elrashidy, DDS
• Emeritus Corporation (Brookdale Diablo Lodge)
• Rizelle Endonila
• Anja Enstrom
• Megan L Eorio, PT
• Mariana Escobedo
• Stacy Espinoza

• Physical Therapist in Danville, CA
• Providers in Danville, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.