Organization Active NPI

Exos - Athletes' Performance San Diego

  • Physical Therapist
  • Carlsbad, CA
National Provider Identifier
1093158586
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EXOS - ATHLETES' PERFORMANCE SAN DIEGO
Practice address
2081 Faraday Ave
Carlsbad, CA 92008-7230
Phone
(760) 494-1570
Fax
(480) 659-6305
NPI assigned
Apr 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Authorized official

Name
Ms. Sheri Walters
Title
Director, Physical Therapy
Phone
(480) 626-4589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2081 Faraday Ave
Carlsbad, CA 92008-7230

Mailing address

2081 Faraday Ave
Carlsbad, CA 92008-7230
Phone (760) 494-1570

National Provider Directory

National Provider Directory

Locations

2081 Faraday Ave
Carlsbad, CA 92008
Phone (760) 494-1570

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1093158586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 FARADAY AVE",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087230",
            "telephone_number": "760-494-1570",
            "fax_number": "480-659-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 FARADAY AVE",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087230",
            "telephone_number": "760-494-1570",
            "fax_number": "480-659-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXOS - ATHLETES' PERFORMANCE SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-15",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "DIRECTOR, PHYSICAL THERAPY",
        "authorized_official_telephone_number": "480-626-4589",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 May 12, 2014; 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.