Individual provider Active NPI

Tina Thornton, RPT

  • Physical Therapist
  • Long Beach, CA
National Provider Identifier
1942383211
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19953 Issued in CA
Practice address
2760 Atlantic Ave
Long Beach, CA 90806-2755
Phone
(562) 424-5198
Fax
(562) 427-1235
NPI assigned
Oct 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT19953 CA Primary

Addresses

Primary practice location

2760 Atlantic Ave
Long Beach, CA 90806-2755

Mailing address

7302 Yellowtail Dr Unit 202
Huntington Beach, CA 92648-2447
Phone (714) 536-2557

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130830000439 NV Practitioner - Physical Therapist in Private Practice 0840269171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chynoweth Hill and Leavitt LLCGroup PAC ID 7012980550, 41 clinicians

Practice addresses (Care Compare)

2445 Fire Mesa St
Suite 120And150
Las Vegas, NV 89128-9014
Phone (702) 843-5143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT19953CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chynoweth Hill and Leavitt LLC Physical Therapist CurrentSince Oct 17, 2022 Accepting new patients
Chynoweth Hill and Leavitt LLC CurrentSince Oct 17, 2022 Accepting new patients

Locations

2035 Corte del Nogal
Ste 200
Carlsbad, CA 92011
Phone (760) 931-8310

8975 S Pecos Rd
Ste 7A
Henderson, NV 89074
Phone (702) 456-2024

2080 E Flamingo Rd
Ste 111
Las Vegas, NV 89119
Phone (702) 339-9668

2445 Fire Mesa St
Ste 120150
Las Vegas, NV 89128
Phone (702) 843-5143

305 N Nellis Blvd
Ste 135
Las Vegas, NV 89110
Phone (702) 438-3188

3831 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 876-1733

7125 Grand Montecito Pkwy
Ste 120
Las Vegas, NV 89149
Phone (702) 515-1540

8925 W Russell Rd
Ste 140
Las Vegas, NV 89148
Phone (702) 914-6787

3870 W Ann Rd
Ste 110
North Las Vegas, NV 89031
Phone (702) 396-7100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942383211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7302 YELLOWTAIL DR UNIT 202",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482447",
            "telephone_number": "714-536-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062755",
            "telephone_number": "562-424-5198",
            "fax_number": "562-427-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "TINA",
        "name_prefix": "Miss",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT19953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.