Individual provider Active NPI

Cidney Amos, DPT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1013737113
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT306583 Issued in CA
Practice address
9888 Carmel Mountain Rd Ste J
San Diego, CA 92129-2807
Phone
(858) 207-4481
Fax
(858) 216-8496
NPI assigned
Oct 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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 PT306583 CA Primary

Addresses

Primary practice location

9888 Carmel Mountain Rd Ste J
San Diego, CA 92129-2807

Mailing address

3070 Madison St
Carlsbad, CA 92008-2310
Phone (760) 591-7750

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241107003711 CA Practitioner - Physical Therapist in Private Practice 3870027204 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Barbara Jean Boutelle Carlsbad Physical Therapy Physical Therapist CurrentSince Sep 30, 2024 Accepting new patients
Barbara Jean Boutelle Carlsbad Physical Therapy Physical Therapist Current Accepting new patients
Barbara Jean Boutelle/Carlsbad Physical Therapy Physical Therapist CurrentSince Sep 30, 2024 Accepting new patients
Barbara Jean Boutelle Carlsbad Physical Therapy Physical Therapist Past Accepting new patients

Locations

3070 Madison St
Carlsbad, CA 92008
Phone (760) 434-6100

1815 E Valley Pkwy
Ste 5
Escondido, CA 92027
Phone (760) 233-9655

850 Main St
Ste 105
Ramona, CA 92065
Phone (760) 789-1424

9888 Carmel Mountain Rd
Ste D
San Diego, CA 92129
Phone (858) 207-4481

9888 Carmel Mountain Rd
Ste J
San Diego, CA 92129
Phone (858) 207-4481

935 W San Marcos Blvd
Ste 102
San Marcos, CA 92078
Phone (760) 471-2440

9830 Prospect Ave
Ste A
Santee, CA 92071
Phone (619) 448-4860

2067 W Vista Way
Ste 185
Vista, CA 92083
Phone (760) 631-5888

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": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1013737113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 MADISON ST",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082310",
            "telephone_number": "760-591-7750",
            "fax_number": "760-471-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9888 CARMEL MOUNTAIN RD STE J",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292807",
            "telephone_number": "858-207-4481",
            "fax_number": "858-216-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMOS",
        "first_name": "CIDNEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT306583",
            "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 Oct 14, 2024; 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.