Individual provider Active NPI

Heather Berryhill

  • Physical Therapist
  • Carlsbad, CA
National Provider Identifier
1043963804
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
300781 Issued in CA
Practice address
6070 Avenida Encinas # 100
Carlsbad, CA 92011-1001
Phone
(760) 388-6475
NPI assigned
Feb 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 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 300781 CA Primary

Addresses

Primary practice location

6070 Avenida Encinas # 100
Carlsbad, CA 92011-1001

Mailing address

185 Madison St
Oceanside, CA 92057-4410
Phone (562) 508-9143

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230117001108 CA Practitioner - Physical Therapist in Private Practice 5890166508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Home Physical Therapy Providers and Wellness IncGroup PAC ID 4789989955, 12 clinicians

Practice addresses (Care Compare)

403 W 5TH Ave
Suite C
Escondido, CA 92025-4851
Phone (760) 536-2377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
300781CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Home Physical Therapy Providers & Wellness Inc. Physical Therapist CurrentSince Sep 30, 2022 Accepting new patients

Locations

403 W 5th Ave
Ste C
Escondido, CA 92025
Phone (760) 536-2377

1611 S Melrose Dr
Ste A
Vista, CA 92081
Phone (760) 230-3451

1611 S Melrose Dr
#311
Vista, CA 92081

Organizations & group practices 1

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": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1043963804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 MADISON ST",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920574410",
            "telephone_number": "562-508-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6070 AVENIDA ENCINAS # 100",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111001",
            "telephone_number": "760-388-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRYHILL",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.