Active NPI
George Michael Terris, PT, DPT
- Physical Therapist
- Oceanside, CA
National Provider Identifier
1073370102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 305735
- Practice address
- 3910 Vista Way Ste 106
Oceanside, CA 92056-4513 - Phone
- (760) 941-2000
- NPI assigned
- Mar 5, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | 305735 | CA | Primary |
Addresses
Primary practice location
3910 Vista Way Ste 106
Oceanside, CA 92056-4513
Mailing address
3468 Sitio Baya
Carlsbad, CA 92009-8916
Phone (760) 846-2192
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305735 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1073370102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3468 SITIO BAYA",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920098916",
"telephone_number": "760-846-2192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3910 VISTA WAY STE 106",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564513",
"telephone_number": "760-941-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRIS",
"first_name": "GEORGE",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-03-05",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "305735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.