NPIMap

Organization Active NPI

J & S Pediatric Therapy, P.C.

  • Speech-Language Pathologist
  • San Diego, CA
National Provider Identifier
1023697877
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
J & S PEDIATRIC THERAPY, P.C.
Practice address
4010 Morena Blvd Ste 103
San Diego, CA 92117-4547
Phone
(619) 356-1315
Fax
(619) 860-1270
NPI assigned
Apr 7, 2021
Last updated
Nov 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Scott W Calderwood, MANPI 1134433899
Title
Owner/Coo
Phone
(619) 832-9851

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Pediatric Occupational Therapist 225XP0200X NU
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

4010 Morena Blvd Ste 103
San Diego, CA 92117-4547

Mailing address

4010 Morena Blvd Ste 103
San Diego, CA 92117-4547
Phone (619) 356-1315

Other names 1

  • J&S Pediatric Therapy Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250319002517 CA Part B Supplier - Clinic/Group Practice 5496276933 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

4010 Morena Blvd
Ste 103
San Diego, CA 92117
Phone (619) 356-1315

Practitioners & affiliated clinicians

Practitioners 36

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.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1023697877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 MORENA BLVD STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174547",
            "telephone_number": "619-356-1315",
            "fax_number": "619-860-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 MORENA BLVD STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174547",
            "telephone_number": "619-356-1315",
            "fax_number": "619-860-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & S PEDIATRIC THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "CALDERWOOD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/COO",
        "authorized_official_telephone_number": "619-832-9851",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J&S Pediatric Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 13, 2025; 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.