NPIMap

Organization Active NPI

Gaspar Physical Therapy a Professional Corporation

  • Specialist
  • San Diego, CA
National Provider Identifier
1154779759
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GASPAR PHYSICAL THERAPY A PROFESSIONAL CORPORATION
Practice address
13350 Camino del Sur
Suite 1
San Diego, CA 92129-4473
Phone
(760) 634-9750
Fax
(760) 634-9752
NPI assigned
May 25, 2016
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Robert M Snow, DPT
Title
Ceo
Phone
(760) 634-9750

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 10

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

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20040218000309 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0648165761 Receives reassigned benefits from 50 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Carlsbad, CA; Encinitas, CA; Oceanside, CA; San Diego, CA; Solana Beach, CA

National Provider Directory

National Provider Directory
Tax ID family
Doctors of Physical Therapy (6 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

NPPES NPI Registry

Primary practice location

13350 Camino del Sur
Suite 1
San Diego, CA 92129-4473

Mailing address

700 Garden View Court
Suite 103
Encinitas, CA 92024-2404
Phone (760) 632-6942

Other names 1

NPPES NPI Registry
  • Doctors of Physical Therapy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 28, 2016.

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1154779759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 GARDEN VIEW COURT",
            "address_2": "SUITE 103",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242404",
            "telephone_number": "760-632-6942",
            "fax_number": "760-632-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13350 CAMINO DEL SUR",
            "address_2": "SUITE 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921294473",
            "telephone_number": "760-634-9750",
            "fax_number": "760-634-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASPAR PHYSICAL THERAPY A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-634-9750",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors of Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 28, 2016; 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.