NPIMap

Organization Active NPI

Eggleton & Langton Physical Therapy Management Services

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1952348674
Registry record updated Mar 19, 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
4435 Eastgate Mall
#120
San Diego, CA 92121-1982
Phone
(858) 587-8669
Fax
(858) 587-8675
NPI assigned
Jun 1, 2006
Last updated
Mar 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Authorized official

Name
Sean Michael McKeownNPI 1902881881
Title
Authorized Official
Phone
(619) 295-3000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

4435 Eastgate Mall
#120
San Diego, CA 92121-1982

Mailing address

317 N El Camino Real
#210
Encinitas, CA 92024-2811
Phone (760) 634-0248

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040122001219 CA Part B Supplier - Clinic/Group Practice 0840192530 Receives reassigned benefits from 100 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Spring Valley, CA; San Diego, CA; La Mesa, CA; Encinitas, CA; El Centro, CA; El Cajon, CA; Chula Vista, CA; Carlsbad, CA…

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

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

2536 Rockwood Ave
Ste 102
Calexico, CA 92231
Phone (760) 768-3422

4040 Sorrento Valley Blvd
Ste I
San Diego, CA 92121

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

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": "1521417600000",
    "number": "1952348674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 N EL CAMINO REAL",
            "address_2": "#210",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242811",
            "telephone_number": "760-634-0248",
            "fax_number": "760-634-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 EASTGATE MALL",
            "address_2": "#120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211982",
            "telephone_number": "858-587-8669",
            "fax_number": "858-587-8675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGGLETON & LANGTON PHYSICAL THERAPY MANAGEMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2018-03-19",
        "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": [],
    "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 Mar 19, 2018; 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.