Individual provider Active NPI

Mary Joy Cubillan, P.T.

  • Physical Therapist
  • Carlsbad, CA
National Provider Identifier
1083817415
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
38083 Issued in CA
Practice address
5576 Foxtail Loop
Carlsbad, CA 92010-7152
Phone
(347) 208-3338
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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 38083 CA Primary

Addresses

Primary practice location

5576 Foxtail Loop
Carlsbad, CA 92010-7152

Mailing address

7527 Jerez CT Unit E
Carlsbad, CA 92009-7449
Phone (347) 208-3338

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
38083CAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reverb Physical Therapy PC Physical Therapist Past Accepting new patients
Adept Physical Therapy, P.C. Physical Therapist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378425600000",
    "number": "1083817415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7527 JEREZ CT UNIT E",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920097449",
            "telephone_number": "347-208-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5576 FOXTAIL LOOP",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920107152",
            "telephone_number": "347-208-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUBILLAN",
        "first_name": "MARY JOY",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2013-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38083",
            "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 Sep 6, 2013; 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.