Barbara Jean Boutelle Carlsbad Physical Therapy

A Medicare group practice based in San Diego, CA: 10 NPIs enrolled under one PECOS associate control ID (PAC ID 4082527189), with 32 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4082527189The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Physical/Occupational Therapy Group in Private Practice
Enrolled in
CA
Enrollments
1
Group size
15 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
10In 8 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20031105000823 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1669420980

NPIs in this group 10

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 32

Clinicians who reassign their Medicare benefits to this group (32) or whom Care Compare lists as members (15).

Sources for this page