Active NPI
Warren Epply Flautt Jr., P.T.
- Physical Therapist
- San Diego, CA
National Provider Identifier
1124099817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21288
- Practice address
- BLDG 601 McCaine Blvd
San Diego, CA 92135 - Phone
- (619) 545-0462
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 21288 | CA | Primary |
Addresses
Primary practice location
BLDG 601 McCaine Blvd
San Diego, CA 92135
Mailing address
2207 Boundary St
San Diego, CA 92104-5307
Phone (619) 282-1982
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21288 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1124099817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2207 BOUNDARY ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921045307",
"telephone_number": "619-282-1982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLDG 601 MCCAINE BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92135",
"telephone_number": "619-545-0462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLAUTT",
"first_name": "WARREN",
"middle_name": "EPPLY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "21288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.