Organization Active NPI

WCPT Inc

  • Physical Therapy Clinic/Center
  • El Cajon, CA
National Provider Identifier
1114034576
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
WCPT INC
Practice address
1265 Avocado Ave
104-197
El Cajon, CA 92020-7783
Phone
(619) 368-4855
Fax
(619) 390-8312
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Keith D Brady, MBA CHE
Title
Ceo
Phone
(619) 368-4855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1265 Avocado Ave
104-197
El Cajon, CA 92020-7783

Mailing address

374 H St
Ste 102
Chula Vista, CA 91910-5547
Phone (619) 691-0345

National Provider Directory

National Provider Directory

Locations

374 H St
Ste 102
Chula Vista, CA 91910
Phone (619) 585-1013

Practitioners & affiliated clinicians

Practitioners 1

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": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114034576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 H ST",
            "address_2": "STE 102",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105547",
            "telephone_number": "619-691-0345",
            "fax_number": "619-691-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 AVOCADO AVE",
            "address_2": "104-197",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920207783",
            "telephone_number": "619-368-4855",
            "fax_number": "619-390-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WCPT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-368-4855",
        "authorized_official_credential": "MBA CHE"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.