EDWIN PENA PT, DPT
NPI 1578427506
Physical Therapist in San Diego, CA
About Edwin Pena Pt, Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWIN PENA PT, DPT (NPI 1578427506) is an individual physical therapist in San Diego, California, licensed in California (309201) and active in the NPI registry since December 2025. He is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Edwin Pena Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Edwin Pena reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Carlsbad, CA 92011
- Reassigned Medicare billing, California enrollment
- 92 clinicians in this Medicare group
Plainfield, IL 60544
- Reassigned Medicare billing, California enrollment
- 53 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Edwin Pena's NPI number?
The NPI number for Edwin Pena is 1578427506. It was assigned to this individual provider in the NPPES registry on December 15, 2025.
Where is Edwin Pena located?
Edwin Pena practices at 17150 Via Del Campo Ste 200, San Diego, CA 92127. The listed phone number is (858) 381-5084.
What is Edwin Pena's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Edwin Pena enrolled in Medicare?
Yes. Edwin Pena is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Edwin Pena's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edwin Pena reassigns Medicare benefits to 2 organizations: Proactive Physical Therapy & Sports Medicine Inc (Carlsbad, CA) and Dpt Holdings, LLC (Plainfield, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edwin Pena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Edwin Pena was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.