NPIMap

Organization Active NPI

Home Physical Therapy Providers & Wellness Inc.

  • Physical Therapist
  • Escondido, CA
National Provider Identifier
1073999264
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
36095 Issued in CA
Legal business name
HOME PHYSICAL THERAPY PROVIDERS & WELLNESS INC.
Practice address
403 W 5TH Ave
Suite C
Escondido, CA 92025-4872
Phone
(760) 536-2377
Fax
(888) 415-0603
NPI assigned
Aug 11, 2015
Last updated
Feb 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Mr. Daniel Norman Sheehy, P.T.NPI 1063837185
Title
President/Physical Therapist
Phone
(760) 201-5359

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 Therapist 225100000X 36095 CA Primary

Addresses

Primary practice location

403 W 5TH Ave
Suite C
Escondido, CA 92025-4872

Mailing address

1611A S Melrose Dr # 311
Vista, CA 92081-5471
Phone (760) 536-2377

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160225001737 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4789989955 Receives reassigned benefits from 13 practitioners
Practice locations: Escondido, CA

National Provider Directory

National Provider Directory

Locations

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

1611 S Melrose Dr
#311
Vista, CA 92081

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1073999264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611A S MELROSE DR # 311",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920815471",
            "telephone_number": "760-536-2377",
            "fax_number": "888-415-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W 5TH AVE",
            "address_2": "SUITE C",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254872",
            "telephone_number": "760-536-2377",
            "fax_number": "888-415-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME PHYSICAL THERAPY PROVIDERS & WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "SHEEHY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "760-201-5359",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.