Active NPI
David C Boutelle, P.T.
- Physical Therapist
- Carlsbad, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12422
- Practice address
- 3070 Madison St
Carlsbad, CA 92008-2310 - Phone
- (760) 591-7750
- Fax
- (760) 471-5139
- NPI assigned
- May 8, 2006
- Last updated
- Aug 30, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12422 | CA | Primary |
Addresses
Primary practice location
3070 Madison St
Carlsbad, CA 92008-2310
Mailing address
3070 Madison St
Carlsbad, CA 92008-2310
Phone (760) 591-7750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1983
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1815 E Valley Pkwy
5 Valley Physical Therapy and Hand Center
Escondido, CA 92027-2550
Phone (760) 233-9655
2067 W Vista Way
185 Tri City Physical Therapy
Vista, CA 92083-6033
Phone (760) 631-5888
3070 Madison St
Carlsbad, CA 92008-2310
Phone (760) 434-6100
9830 Prospect Ave a
Santee, CA 92071-4375
Phone (619) 448-4860
9888 Carmel Mountain Rd
Suite D
San Diego, CA 92129-2807
Phone (858) 207-4481
9909 Mira Mesa Blvd
Suite 120
San Diego, CA 92131-1060
Phone (858) 693-0436
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barbara Jean Boutelle/Carlsbad Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Barbara Jean Boutelle Carlsbad Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Barbara Jean Boutelle Carlsbad Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Barbara Jean Boutelle/Carlsbad Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Physical Rehabilitation and Hand Centers Inc | Physical Therapist | Past | Accepting new patients |
| Physical Rehabilitation and Hand Centers Inc | Physical Therapist | Past | Accepting new patients |
| Barbara Jean Boutelle Carlsbad Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
3070 Madison St
Carlsbad, CA 92008
Phone (760) 434-6100
891 Kuhn Dr
Chula Vista, CA 91914
Phone (619) 656-6420
1815 E Valley Pkwy
Ste 5
Escondido, CA 92027
Phone (760) 233-9655
467 College Blvd
Ste 6
Oceanside, CA 92057
Phone (760) 295-5156
850 Main St
Ste 105
Ramona, CA 92065
Phone (760) 789-1424
6195 Cornerstone Ct E
Ste 101
San Diego, CA 92121
Phone (858) 230-6044
9888 Carmel Mountain Rd
Ste J
San Diego, CA 92129
Phone (858) 207-4481
9909 Mira Mesa Blvd
Ste 120
San Diego, CA 92131
Phone (858) 693-0436
935 W San Marcos Blvd
Ste 102
San Marcos, CA 92078
Phone (760) 471-2440
9830 Prospect Ave
Ste A
Santee, CA 92071
Phone (619) 448-4860
2067 W Vista Way
Ste 185
Vista, CA 92083
Phone (760) 631-5888
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Carlsbad, CA
- NPI 1669420980
-
- Physical Therapist
- Escondido, CA
- NPI 1659580322
-
dba Mesa-Gilbert Physical Therapy and Hand Center
- Physical Therapist
- Mesa, AZ
- NPI 1245313345
-
dba Ahwatukee Physical Therapy and Hand Centers, Inc.
- Physical Therapist
- Phoenix, AZ
- NPI 1457434565
-
dba Chandler Orthopedic & Sports Therapy
- Physical Therapist
- Chandler, AZ
- NPI 1548343635
-
dba San Luis Rey Physical Therapy and Hand Center
- Physical Therapist
- Oceanside, CA
- NPI 1255007050
-
dba Valley Physical Therapy and Hand Center
- Physical Therapist
- Escondido, CA
- NPI 1083662407
-
dba Scripps Ranch Physical Therapy and Hand Center
- Physical Therapist
- San Diego, CA
- NPI 1699723098
-
dba San Marcos Physical Therapy and Hand Center
- Physical Therapist
- San Marcos, CA
- NPI 1013966357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1063461101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3070 MADISON ST",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920082310",
"telephone_number": "760-591-7750",
"fax_number": "760-294-9813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3070 MADISON ST",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920082310",
"telephone_number": "760-591-7750",
"fax_number": "760-471-5139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUTELLE",
"first_name": "DAVID",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "12422",
"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 Aug 30, 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.