NPIMap

Organization Active NPI

Advanced Travel Health LLC

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1043089337
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ADVANCED TRAVEL HEALTH LLC
Practice address
6915 Flanders Dr Ste D
San Diego, CA 92121-2987
Phone
(858) 265-7727
NPI assigned
Dec 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Authorized official

Name
Owen Michael Johnston, DPTNPI 1841667771
Title
Ceo, Physical Therapist
Phone
(858) 265-7727

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

6915 Flanders Dr Ste D
San Diego, CA 92121-2987

Mailing address

6915 Flanders Dr Ste D
San Diego, CA 92121-2987

Other names 1

  • Advanced Physical Therapy & Wellness Doing business as

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": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1043089337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6915 FLANDERS DR STE D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6915 FLANDERS DR STE D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212987",
            "telephone_number": "858-265-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED TRAVEL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "OWEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "858-265-7727",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Physical Therapy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Physical Therapy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.