NPIMap

Organization Active NPI

California Rehab & Sports Therapy

  • Physical Therapist
  • Carlsbad, CA
National Provider Identifier
1083085278
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CALIFORNIA REHAB & SPORTS THERAPY
Practice address
5962 La Place CT # 150
Carlsbad, CA 92008-8807
Phone
(760) 607-9679
Fax
(760) 602-3273
NPI assigned
Oct 13, 2015
Organization subpart
Yes
Parent organization
CALIFORNIA REHAB & SPORTS THERAPYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Authorized official

Name
Mr. Jonathan Earl Dockery
Title
VP RCM
Phone
(760) 607-9679

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

5962 La Place CT # 150
Carlsbad, CA 92008-8807

Mailing address

5962 La Place CT # 150
Carlsbad, CA 92008-8807
Phone (760) 607-9679

National Provider Directory

National Provider Directory
Tax ID family
Ca Rehab Sports Thpy28 organizations share this tax ID, including this one
Part of
Ca Rehab Sports Thpy

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Locations

5962 La Place Ct
#150
Carlsbad, CA 92008
Phone (760) 607-9679

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1083085278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5962 LA PLACE CT # 150",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920088807",
            "telephone_number": "760-607-9679",
            "fax_number": "760-602-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5962 LA PLACE CT # 150",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920088807",
            "telephone_number": "760-607-9679",
            "fax_number": "760-602-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA REHAB & SPORTS THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALIFORNIA REHAB & SPORTS THERAPY",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "DOCKERY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "VP RCM",
        "authorized_official_telephone_number": "760-607-9679",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.