Active NPI
Southern Indian Health Council
- Physical Therapist
- Alpine, CA
National Provider Identifier
1124962808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- SOUTHERN INDIAN HEALTH COUNCIL
- Practice address
- 2549 Alpine Blvd
Alpine, CA 91901-3950 - Phone
- (619) 445-1188
- NPI assigned
- Apr 15, 2026
- Last updated
- Apr 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Caswell
- Title
- Ceo
- Phone
- (619) 445-1188
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
2549 Alpine Blvd
Alpine, CA 91901-3950
Mailing address
4058 Willows Rd
Alpine, CA 91901-1668
Phone (619) 445-1188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180202000177 | TX | Part B Supplier - Clinic/Group Practice | 9830221449 |
Receives reassigned benefits from 31 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Alpine, CA; Boulevard, CA; Campo, CA |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Boulevard, CA
- NPI 1902562416
O20180202000177
-
- Health Service Clinic/Center
- Campo, CA
- NPI 1922090885
O20180202000177
National Provider Directory
National Provider Directory- Tax ID family
- Southern Indian Health
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Alpine, CA
- NPI 1235280223
-
- Community/Behavioral Health Agency
- Alpine, CA
- NPI 1295491736
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Campo, CA
- NPI 1417026758
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Boulevard, CA
- NPI 1902562416
Locations
2549 Alpine Blvd
Alpine, CA 91901
Phone (619) 445-1188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776211200000",
"number": "1124962808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4058 WILLOWS RD",
"city": "ALPINE",
"state": "CA",
"postal_code": "919011668",
"telephone_number": "619-445-1188",
"fax_number": "619-659-3138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2549 ALPINE BLVD",
"city": "ALPINE",
"state": "CA",
"postal_code": "919013950",
"telephone_number": "619-445-1188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN INDIAN HEALTH COUNCIL",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-15",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A",
"authorized_official_last_name": "CASWELL",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "619-445-1188"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.