NPIMap

Organization Active NPI

Performance Plus Physical Therapy, Inc.

  • Physical Therapist
  • Chula Vista, CA
National Provider Identifier
1144766064
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30298 Issued in CA
Legal business name
PERFORMANCE PLUS PHYSICAL THERAPY, INC.
Practice address
1392 E Palomar St Ste 503
Chula Vista, CA 91913-1895
Phone
(619) 482-3000
Fax
(619) 482-3001
NPI assigned
Jan 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Authorized official

Name
Todd Michael Sparks, PT, DPT, OCS, CSCSNPI 1265481139
Title
Owner/ President
Phone
(858) 336-0163

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 30298 CA Primary

Addresses

Primary practice location

1392 E Palomar St Ste 503
Chula Vista, CA 91913-1895

Mailing address

1392 E Palomar St Ste 503
Chula Vista, CA 91913-1895
Phone (619) 482-3000

Other practice location 1

690 Otay Lakes Rd
Chula Vista, CA 91910-8904
Phone (619) 421-0444

Other practice location 2

600 Palm Ave Ste 126
Imperial Beach, CA 91932-1246
Phone (619) 332-4200

Other practice location 3

3400 E 8th St Ste 108
National City, CA 91950-3168
Phone (619) 482-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170525000621 CA Part B Supplier - Clinic/Group Practice 1850668773 Receives reassigned benefits from 26 practitioners
Practice locations: Imperial Beach, CA; National City, CA; Chula Vista, CA

National Provider Directory

National Provider Directory

Locations

690 Otay Lakes Rd
Chula Vista, CA 91910
Phone (619) 421-0444

386 E H St
Ste 203
Chula Vista, CA 91910
Phone (619) 482-3000

1392 E Palomar St
Ste 503
Chula Vista, CA 91913
Phone (619) 482-3000

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1144766064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1392 E PALOMAR ST STE 503",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919131895",
            "telephone_number": "619-482-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1392 E PALOMAR ST STE 503",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919131895",
            "telephone_number": "619-482-3000",
            "fax_number": "619-482-3001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "690 Otay Lakes Rd",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919108904",
            "country_code": "US",
            "telephone_number": "619-421-0444",
            "fax_number": "619-421-0434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Palm Ave Ste 126",
            "address_purpose": "LOCATION",
            "city": "Imperial Beach",
            "state": "CA",
            "postal_code": "919321246",
            "country_code": "US",
            "telephone_number": "619-332-4200",
            "fax_number": "619-332-4220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 E 8th St Ste 108",
            "address_purpose": "LOCATION",
            "city": "National City",
            "state": "CA",
            "postal_code": "919503168",
            "country_code": "US",
            "telephone_number": "619-482-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERFORMANCE PLUS PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "858-336-0163",
        "authorized_official_credential": "PT, DPT, OCS, CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "30298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.

Verify at the official NPI Registry.