El Cajon Therapy Associates

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5391 Issued in CA

Legal business name

EL CAJON THERAPY ASSOCIATES

Practice address

198 W Main St
El Cajon, CA 92020-3399

Phone

(619) 444-6113

Fax

(619) 444-8205

NPI assigned

Nov 20, 2006

Last updated

Feb 27, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adam Iannazzo, PTNPI 1417173006

Title

Owner

Phone

(619) 444-6113

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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.

• Adam Scott Iannazzo, PT

  • Physical Therapist
  • El Cajon, CA
  • NPI 1417173006
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1194899385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 AVOCADO AVE PMB 189",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920207704",
            "telephone_number": "619-444-6113",
            "fax_number": "619-444-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 W MAIN ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203399",
            "telephone_number": "619-444-6113",
            "fax_number": "619-444-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL CAJON THERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "IANNAZZO",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-444-6113",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT5391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• El Cajon Elder Care, LLC (El Cajon Elder Care)
• El Cajon Laboratory Services Inc (El Cajon Laboratory Services)
• El Cajon Pediatric Medical Group
• El Cajon Physical Therapy Apc
• El Cajon Post Acute, LLC (Country Hills Post Acute)
• El Cajon Therapy Associates, Inc
• El Cajon X-Ray Imaging
• El Nudo, LLC (Nudo's Pharmacy)
• Ahmed El-Ghoneimy, M.D.
• Elahe Toulouie MD Inc

• Physical Therapist in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.