Mission Hills Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT13102 Issued in CA

Legal business name

MISSION HILLS PHYSICAL THERAPY

Practice address

928 Fort Stockton Dr Ste 201
San Diego, CA 92103-1893

Phone

(619) 543-1470

Fax

(619) 543-1421

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ralph C Havens, P.T., O.C.S.NPI 1679798904

Title

Owner

Phone

(619) 543-1470

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Ralph C. Havens, P.T.

  • Physical Therapist
  • San Diego, CA
  • NPI 1679798904
  NPD (past) Authorized official
• Cathie K. Wegrzyn, R.P.T.

  • Physical Therapist
  • San Diego, CA
  • NPI 1356566616
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134344401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 FORT STOCKTON DR STE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031893",
            "telephone_number": "619-543-1470",
            "fax_number": "619-543-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 FORT STOCKTON DR STE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031893",
            "telephone_number": "619-543-1470",
            "fax_number": "619-543-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION HILLS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAVENS",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-543-1470",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T., O.C.S."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT13102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miss Mary'S Doula Service
• Sanaz Missaghi-Lajvardi, M.D.
• Georgina Christina Missailidis, MS, BCBA
• Mission Bay Hospice, Inc.
• Mission Hills Health Care,Inc,
• Mission Home Health of Rancho Mirage LLC
• Mission Home Health of San Diego LLC
• Mission Hospice Services of San Diego, LLC
• Mission Medical Group of the Inland Empire
• Mission Medical Supply

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.