Individual provider Active NPI

Kenneth Alan Langworthy, PT

  • Physical Therapist
  • Carlsbad, CA
National Provider Identifier
1992221386
Registry record updated Aug 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
293378 Issued in CA
Practice address
2077 Las Palmas Dr
Carlsbad, CA 92011-1519
Phone
(760) 918-9200
Fax
(760) 918-9203
NPI assigned
Aug 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2017

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 293378 CA Primary

Addresses

Primary practice location

2077 Las Palmas Dr
Carlsbad, CA 92011-1519

Mailing address

1084 N. El Camino Real
B-351
Encinitas, CA 92024-1334
Phone (760) 918-9200

Other identifiers 1

IdentifierTypeStateIssuer
293378OtherCACA PT LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502928000000",
    "number": "1992221386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1084 N. EL CAMINO REAL",
            "address_2": "B-351",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241334",
            "telephone_number": "760-918-9200",
            "fax_number": "760-918-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2077 LAS PALMAS DR",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111519",
            "telephone_number": "760-918-9200",
            "fax_number": "760-918-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGWORTHY",
        "first_name": "KENNETH",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-17",
        "last_updated": "2017-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "293378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA PT LICENSE NUMBER",
            "identifier": "293378",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.