Tamara Lila Trily, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

294448 Issued in CA

Practice address

760 13TH St
Imperial Beach, CA 91932-2308

Phone

(858) 755-5200

Fax

(619) 941-2681

NPI assigned

Dec 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tamara Lila Pessin Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sharp Rees-Stealy Medical Group IncGroup PAC ID 8628972759, 872 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sharp Rees-Stealy Medical Group, Inc

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1285616177
  Medicare reassignment Care Compare group NPD
• Eggleton & Langton Physical Therapy Management Services

  • Multi-Specialty Clinic/Center
  • Escondido, CA
  • NPI 1972229805

  Physical Therapist

  Medicare reassignment NPD
• Eggleton & Langton Physical Therapy Management Services

  • Physical Therapist
  • San Diego, CA
  • NPI 1134166838
  NPD
• Sharp Rees-Stealy Medical Group, Inc

  • Optometrist
  • San Diego, CA
  • NPI 1063172351
  NPD
• Sharp Rees-Stealy Medical Center

  • Physical Therapist
  • Chula Vista, CA
  • NPI 1407096589
  NPD (past)

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1124534151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1488 PIONEER WAY STE 13",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920201633",
            "telephone_number": "858-755-5200",
            "fax_number": "619-343-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 13TH ST",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919322308",
            "telephone_number": "858-755-5200",
            "fax_number": "619-941-2681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1488 Pioneer Way Ste 13",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920201633",
            "country_code": "US",
            "telephone_number": "858-755-5200 x16",
            "fax_number": "619-343-3514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRILY",
        "first_name": "TAMARA",
        "middle_name": "LILA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-28",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "294448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.risephysicaltherapy.com/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "760 13th St",
            "city": "Imperial Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919322308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.risephysicaltherapy.com/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1488 Pioneer Way Ste 13",
            "city": "El Cajon",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920201633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "PESSIN",
            "middle_name": "LILA",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Tamara Dee Thacker, IDC
• Alaysa Thygersen, FNP-BC
• Lora Jane Urig, D.C.
• Ida Chen Van Houten, RN
• Marianela Vasquez-Sosa, PHARMACIST
• Taylor Verissimo, PT
• Giovanni Xavier Villanueva, DPT

• Physical Therapist in Imperial Beach, CA
• Providers in Imperial Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.

Verify at the official NPI Registry.