Individual provider Active NPI

Andrew Clinton Eubank

  • Physical Therapist
  • Santa Barbara, CA
National Provider Identifier
1992928188
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24368 Issued in CA
Practice address
2324 Bath St
Santa Barbara, CA 93105-4330
Phone
(805) 682-3870
NPI assigned
Apr 10, 2007
Sex
Male
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 PT24368 CA Primary

Addresses

Primary practice location

2324 Bath St
Santa Barbara, CA 93105-4330

Mailing address

2324 Bath St
Santa Barbara, CA 93105-4330
Phone (805) 682-3870

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080311000240 CA Practitioner - Physical Therapist in Private Practice 2668557919 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
Alta Orthopaedic Medical Group IncGroup PAC ID 7315837788, 22 clinicians

Practice addresses (Care Compare)

511 Bath St
Santa Barbara, CA 93101-3403
Phone (805) 963-9377

Merit-based Incentive Payment System (MIPS)

Final score
46.49 of 100Reported as group
Quality
34.52
Promoting interoperability
0
Improvement activities
40
Cost
70.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24368CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alta Orthopaedic Medical Group Inc CurrentSince Feb 24, 2014 Accepting new patients
Alta Orthopaedic Medical Group, Inc. CurrentSince Feb 24, 2014 Accepting new patients
Muller & Weber Physical Therapy, Inc Physical Therapist PastSince Sep 9, 2003 Accepting new patients

Locations

510 Castillo St
Ste 203
Santa Barbara, CA 93101

511 Bath St
Santa Barbara, CA 93101
Phone (805) 963-9377

210 S Palisade Dr
Ste 201
Santa Maria, CA 93454
Phone (805) 348-1990

2027 Village Ln
Ste 101
Solvang, CA 93463
Phone (805) 279-5579

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1272/brand/1/csg/1/fhir/r4
  • Direct secure messaging: andrew.eubank.1@1272.direct.athenahealth.com

Organizations & group practices 3

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992928188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 BATH ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054330",
            "telephone_number": "805-682-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 BATH ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054330",
            "telephone_number": "805-682-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUBANK",
        "first_name": "ANDREW",
        "middle_name": "CLINTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT24368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, 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.