NPIMap

Organization Active NPI

Healthwest Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • San Marcos, CA
National Provider Identifier
1013524263
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HEALTHWEST PHYSICAL THERAPY, INC.
Practice address
1482 La Mirada Dr
San Marcos, CA 92078-2414
Phone
(760) 704-7000
Fax
(760) 290-7250
NPI assigned
Sep 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Gwendolyn Alden, PTNPI 1447583067
Title
President/Secretary
Phone
(619) 373-6100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1482 La Mirada Dr
San Marcos, CA 92078-2414

Mailing address

30138 Disney LN
Vista, CA 92084-1230
Phone (619) 373-6100

Other names 1

  • HealthWest Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201207000609 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6608288196 Receives reassigned benefits from 2 practitioners
Practice locations: San Marcos, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1013524263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30138 DISNEY LN",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920841230",
            "telephone_number": "619-373-6100",
            "fax_number": "760-290-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1482 LA MIRADA DR",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782414",
            "telephone_number": "760-704-7000",
            "fax_number": "760-290-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWEST PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "ALDEN",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "PRESIDENT/SECRETARY",
        "authorized_official_telephone_number": "619-373-6100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthWest Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HealthWest Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.