Active NPI
Asis Physical Therapy, Inc.
- Physical Therapist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 394995
- Legal business name
- ASIS PHYSICAL THERAPY, INC.
- Practice address
- 11848 Bernardo Plaza CT Ste 100
San Diego, CA 92128-2417 - Phone
- (888) 673-2263
- NPI assigned
- Oct 6, 2008
- Last updated
- Feb 24, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vanessa Marie Jackson, DPT
- Title
- Doctor of Physical Therapy
- Phone
- (858) 349-4869
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 394995 | CA | Primary |
Addresses
Primary practice location
11848 Bernardo Plaza CT Ste 100
San Diego, CA 92128-2417
Mailing address
11848 Benardo Plaza CT
Suite 100
San Diego, CA 92128
Phone (858) 349-4859
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10545 Scripps Poway Pkwy
San Diego, CA 92131
Phone (858) 217-2496
10545 Scripps Poway Pkwy
Ste C
San Diego, CA 92131
11848 Bernardo Plaza Ct
Ste 100
San Diego, CA 92128
Phone (858) 217-2496
1828 Garnet Ave
San Diego, CA 92109
Phone (858) 217-2496
2206 Balboa Ave
San Diego, CA 92109
Phone (858) 274-6633
3830 Valley Centre Dr
Ste 701
San Diego, CA 92130
Phone (858) 217-2496
Practitioners & affiliated clinicians
Practitioners 23
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Oceanside, CA
- NPI 1114794443
-
- Physical Therapist
- Castro Valley, CA
- NPI 1124314778
-
- Physical Therapist
- San Diego, CA
- NPI 1033699541
-
- Physical Therapist
- Chula Vista, CA
- NPI 1366101610
-
- Physical Therapist
- San Diego, CA
- NPI 1922782176
-
- Physical Therapist
- Indio, CA
- NPI 1134426299
-
- Physical Therapist
- San Diego, CA
- NPI 1558043620
-
- Physical Therapist
- Rancho Santa Margarita, CA
- NPI 1427625854
-
- Physical Therapist
- San Diego, CA
- NPI 1306650494
-
- Physical Therapist
- San Diego, CA
- NPI 1174789424
-
- Physical Therapist
- Capitola, CA
- NPI 1497220172
-
- Physical Therapist
- San Diego, CA
- NPI 1538649678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487894400000",
"number": "1023269222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11848 BENARDO PLAZA CT",
"address_2": "SUITE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92128",
"telephone_number": "858-349-4859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11848 BERNARDO PLAZA CT STE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921282417",
"telephone_number": "888-673-2263"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASIS PHYSICAL THERAPY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-06",
"last_updated": "2017-02-24",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "VANESSA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
"authorized_official_telephone_number": "858-349-4869",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "394995",
"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 Feb 24, 2017; 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.