JOHNNIE EDWIN DURBIN
NPI 1639775141
Physical Therapist in Cardiff By The Sea, CA

Active since December 09, 2020Accepts Medicare Assignment
88.87/100
CMS Quality Rating
230 BIRMINGHAM DR, CARDIFF BY THE SEA, CA 92007(760) 230-1377(888) 324-4764 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2024, Dec 9, 2020 (2 updates tracked since 2020).

About Johnnie Edwin Durbin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHNNIE EDWIN DURBIN (NPI 1639775141) is an individual physical therapist in Cardiff By The Sea, California, licensed in California (298350) and active in the NPI registry since December 2020. He maintains a secondary practice location in Encinitas and is a graduate of Other (2019).

NPPES Registry Identity

NPI1639775141
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJOHNNIE EDWIN DURBIN
Location Address230 BIRMINGHAM DRCardiff By The Sea, CA 92007-1722
Mailing Address230 Birmingham DrCardiff By The Sea, CA 92007-1722 · (760) 230-1377
Fax(888) 324-4764
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 9, 2020
Last NPPES UpdateJuly 30, 20242 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
NPI 1639775141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in CA · 298350
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
230 BIRMINGHAM DR, Cardiff By The Sea, CA 92007

Secondary Practice Location 1

Location 11900 N Coast Highway 101 Ste BEncinitas, CA 92024-1056 · Phone (760) 230-1377

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Johnnie Edwin Durbin is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153726260
PECOS Enrollment IDI20210826002270

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
668 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92007 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.91
Improvement Activities40

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.

Physical Therapist
230 BIRMINGHAM DR
CARDIFF, CA 92007
Physical Therapist
230 BIRMINGHAM DR
CARDIFF BY THE SEA, CA 92007

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 Johnnie Durbin's NPI number?

The NPI number for Johnnie Durbin is 1639775141. It was assigned to this individual provider in the NPPES registry on December 9, 2020.

Where is Johnnie Durbin located?

Johnnie Durbin practices at 230 Birmingham Dr, Cardiff By The Sea, CA 92007. The listed phone number is (760) 230-1377.

What is Johnnie Durbin's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Johnnie Durbin enrolled in Medicare?

Yes. Johnnie Durbin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Johnnie Durbin was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.