Individual provider Active NPI

Nicole Junk, DPT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1013675362
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
302811 Issued in CA
Practice address
7625 Mesa College Dr Ste 101a
San Diego, CA 92111-5343
Phone
(858) 277-1586
NPI assigned
Dec 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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 302811 CA Primary

Addresses

Primary practice location

7625 Mesa College Dr Ste 101a
San Diego, CA 92111-5343

Mailing address

7625 Mesa College Dr Ste 101a
San Diego, CA 92111-5343
Phone (858) 277-1586

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221110002258 CA Practitioner - Physical Therapist in Private Practice 1254708811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select San Diego Physical Therapy PCGroup PAC ID 4981088994, 58 clinicians

Practice addresses (Care Compare)

7625 Mesa College Dr
San Diego, CA 92111-5343
Phone (858) 277-1586

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select San Diego Physical Therapy, PC. Current Accepting new patients
Select San Diego Physical Therapy, PC. CurrentSince Oct 1, 2022 Accepting new patients
Select San Diego Physical Therapy, PC. Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
Select San Diego Physical Therapy, PC. Past Accepting new patients

Locations

2060 Otay Lakes Rd
Chula Vista, CA 91913
Phone (616) 546-0039

2060 Otay Lakes Rd
Ste 110
Chula Vista, CA 91913
Phone (619) 373-9222

5648 Lake Murray Blvd
La Mesa, CA 91942
Phone (619) 464-1352

15525 Pomerado Rd
Ste C8
Poway, CA 92064
Phone (858) 674-4263

12250 El Camino Real
Ste 190
San Diego, CA 92130
Phone (858) 793-1460

16935 W Bernardo Dr
Ste 180
San Diego, CA 92127
Phone (858) 217-5837

4910 Directors Pl
Ste 370
San Diego, CA 92121
Phone (858) 554-0522

7625 Mesa College Dr
San Diego, CA 92111
Phone (858) 277-1586

7625 Mesa College Dr
Ste 101
San Diego, CA 92111
Phone (858) 569-6800

11512 El Camino Real
Ste 110
San Diego, CA 92130
Phone (858) 793-1460

7625 Mesa College Dr
Ste 101A
San Diego, CA 92111
Phone (858) 277-1586

3737 Moraga Ave
Ste B117
San Diego, CA 92117
Phone (858) 270-0981

3939 Ruffin Rd
Ste 103
San Diego, CA 92123
Phone (858) 308-4185

3218 Governor Dr
San Diego, CA 92122
Phone (858) 453-3000

11515 El Camino Real
Ste 130
San Diego, CA 92130
Phone (858) 793-1460

400 S Melrose Dr
Ste 215
Vista, CA 92081
Phone (760) 509-9901

Organizations & group practices 4

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": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1013675362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 MESA COLLEGE DR STE 101A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921115343",
            "telephone_number": "858-277-1586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 MESA COLLEGE DR STE 101A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921115343",
            "telephone_number": "858-277-1586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNK",
        "first_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.