Individual provider Active NPI

Alexander Rheaume, DPT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1053659854
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT39516 Issued in CA
Practice address
3760 Convoy St Ste 100
San Diego, CA 92111-3743
Phone
(858) 573-9368
Fax
(858) 874-0582
NPI assigned
Jan 29, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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 PT39516 CA Primary

Addresses

Primary practice location

3760 Convoy St Ste 100
San Diego, CA 92111-3743

Mailing address

3760 Convoy St Ste 100
San Diego, CA 92111-3743
Phone (858) 573-9368

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141103001815 CA Practitioner - Physical Therapist in Private Practice 5193947398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MDRS Spine and Sport IncGroup PAC ID 3274446687, 181 clinicians

Practice addresses (Care Compare)

1020 Tierra del Rey
Suite a 1
Chula Vista, CA 91910-7886
Phone (619) 585-7104

130 E 8TH St
National City, CA 91950-2223
Phone (619) 500-6877

180 Otay Lakes Rd
Suite 105
Bonita, CA 91902-2439
Phone (619) 500-7590

2115 Montiel Rd
Suite 103
San Marcos, CA 92069-3587
Phone (760) 839-2905

2335 Vista Way
Oceanside, CA 92054-5663
Phone (760) 547-2666

27450 Ynez Rd
Suite 120
Temecula, CA 92591-4649
Phone (951) 498-7540

35023 Mission Hills Dr
BLDG a
Rancho Mirage, CA 92270-1765
Phone (760) 699-7236

3951 Camino de la PLZ
Suite 109
San Ysidro, CA 92173-5909
Phone (619) 340-0448

431 N Escondido Blvd
Escondido, CA 92025-2625
Phone (442) 248-5450

585 Saturn Blvd
Suite a
San Diego, CA 92154-4721
Phone (619) 591-1190

675 Saturn Blvd
Suite Candd
San Diego, CA 92154-4735
Phone (619) 591-1190

780 Dennery Rd
Suite 301
San Diego, CA 92154-8455
Phone (619) 859-4501

865 3Rd Ave
Suite 105
Chula Vista, CA 91911-1349
Phone (619) 500-8044

910 Hale PL
Suite 115
Chula Vista, CA 91914-3504
Phone (619) 369-2667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT39516CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Dec 1, 2013 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist CurrentSince Dec 1, 2013 Accepting new patients

Locations

180 Otay Lakes Rd
Ste 105
Bonita, CA 91902
Phone (619) 475-6910

1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104

865 Third Ave
Ste 105
Chula Vista, CA 91911
Phone (619) 500-8044

910 Hale Pl
Ste 115
Chula Vista, CA 91914
Phone (619) 369-2667

2240 E Plaza Blvd
Ste Be
National City, CA 91950
Phone (619) 474-5916

2335 Vista Way
Oceanside, CA 92054
Phone (760) 547-2666

72880 Fred Waring Dr
Ste B7
Palm Desert, CA 92260
Phone (760) 340-4050

3707 Convoy St
Ste 100
San Diego, CA 92111
Phone (858) 573-9368

5807 University Ave
Ste 6
San Diego, CA 92115
Phone (619) 500-0109

780 Dennery Rd
Ste 301
San Diego, CA 92154
Phone (619) 859-4501

3405 Kenyon St
Ste 306
San Diego, CA 92110
Phone (303) 594-3364

3760 Convoy St
Ste 100
San Diego, CA 92111
Phone (858) 264-1434

100 Island Ave
San Diego, CA 92101
Phone (619) 343-2395

8790 Cuyamaca St
Ste A
Santee, CA 92071
Phone (619) 596-5969

Organizations & group practices 2

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": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1053659854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 CONVOY ST STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113743",
            "telephone_number": "858-573-9368",
            "fax_number": "858-874-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 CONVOY ST STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113743",
            "telephone_number": "858-573-9368",
            "fax_number": "858-874-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHEAUME",
        "first_name": "ALEXANDER",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-29",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT39516",
            "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 Sep 8, 2020; 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.