NPIMap

Organization Active NPI

Catalyst Physical Therapy & Wellness, Inc.

  • Physical Therapy Clinic/Center
  • San Diego, CA
National Provider Identifier
1124456868
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT 33609 Issued in CA
Legal business name
CATALYST PHYSICAL THERAPY & WELLNESS, INC.
Practice address
1333 Camino del Rio S Ste 103
San Diego, CA 92108-3520
Phone
(619) 501-2195
NPI assigned
Oct 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Authorized official

Name
Brian Wilson, MPTNPI 1699855981
Title
President
Phone
(858) 752-8423

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT 33609 CA Primary

Addresses

Primary practice location

1333 Camino del Rio S Ste 103
San Diego, CA 92108-3520

Mailing address

1333 Camino del Rio S Ste 103
San Diego, CA 92108-3520
Phone (619) 501-2195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150107000593 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0446488324 Receives reassigned benefits from 21 practitioners
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

3129 Tiger Run Ct
Ste 115
Carlsbad, CA 92010
Phone (619) 501-2195

3434 Midway Dr
Ste 2005
San Diego, CA 92110

4490 W Point Loma Blvd
San Diego, CA 92107
Phone (619) 221-9000

3434 Midway Dr
Ste 2005A
San Diego, CA 92110
Phone (619) 501-2195

10890 Thornmint Rd
Ste 100
San Diego, CA 92127
Phone (619) 501-2195

722 Genevieve St
Ste A
Solana Beach, CA 92075
Phone (619) 501-2195

Practitioners & affiliated clinicians

Practitioners 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1124456868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 CAMINO DEL RIO S STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083520",
            "telephone_number": "619-501-2195",
            "fax_number": "619-501-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 CAMINO DEL RIO S STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083520",
            "telephone_number": "619-501-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATALYST PHYSICAL THERAPY & WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-752-8423",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT 33609",
            "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 Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.