Active NPI
Komal Deokule, PT.,MSC.PT.,CCS
- Physical Therapist
- San Diego, CA
National Provider Identifier
1134474877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 35986
- Practice address
- 5353 Mission Center Rd
Ste 120
San Diego, CA 92108-1306 - Phone
- (858) 255-7976
- Fax
- (858) 255-7969
- NPI assigned
- Jul 18, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 35986 | CA | Primary |
| Cardiopulmonary Physical Therapist | 2251C2600X |
Addresses
Primary practice location
5353 Mission Center Rd
Ste 120
San Diego, CA 92108-1306
Mailing address
PO Box 910883
San Diego, CA 92191-0883
Phone (858) 336-9338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Point Physical Therapy | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352851200000",
"number": "1134474877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 910883",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921910883",
"telephone_number": "858-336-9338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5353 MISSION CENTER RD",
"address_2": "STE 120",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921081306",
"telephone_number": "858-255-7976",
"fax_number": "858-255-7969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEOKULE",
"first_name": "KOMAL",
"credential": "PT.,MSC.PT.,CCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-18",
"last_updated": "2012-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 35986",
"primary": true
},
{
"code": "2251C2600X",
"taxonomy_group": "",
"desc": "Physical Therapist, Cardiopulmonary",
"state": null,
"license": null,
"primary": false
}
],
"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 Nov 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.