Active NPI
John Dawson, PT, DPT, CSCS, TPI
- Orthopedic Physical Therapist
- Vista, CA
National Provider Identifier
1124520812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 294612
- Practice address
- 510 Hacienda Dr Ste 107
Vista, CA 92081-6639 - Phone
- (760) 630-8060
- NPI assigned
- Mar 8, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 294612 | CA | Primary |
Addresses
Primary practice location
510 Hacienda Dr Ste 107
Vista, CA 92081-6639
Mailing address
3066 N Park Way
San Diego, CA 92104-3625
Phone (925) 219-2621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7801 Mission Ctr CT
Suite 330
San Diego, CA 92108-1316
Phone (619) 489-3130
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 294612 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SD Elite Physical Therapy | Current | Accepting new patients | |
| San Diego Elite Physical Therapy | Orthopedic | Current | Accepting new patients |
| SD Elite Physical Therapy | Current | Accepting new patients |
Locations
510 Hacienda Dr
Ste 107
Vista, CA 92081
Phone (760) 630-0683
410 S Melrose Dr
Ste 200
Vista, CA 92081
Phone (760) 630-0683
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Vista, CA
- NPI 1285136978
-
- Physical Medicine & Rehabilitation Physician
- Vista, CA
- NPI 1841765138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1124520812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3066 N PARK WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921043625",
"telephone_number": "925-219-2621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 HACIENDA DR STE 107",
"city": "VISTA",
"state": "CA",
"postal_code": "920816639",
"telephone_number": "760-630-8060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "JOHN",
"credential": "PT, DPT, CSCS, TPI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-08",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "294612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.