Physical Therapy and Sports Medicine Center

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT8986 Issued in CA

Legal business name

PHYSICAL THERAPY AND SPORTS MEDICINE CENTER

Practice address

5565 Grossmont Center Dr
BLDG. 3, Suite 461
La Mesa, CA 91942-3020

Phone

(619) 589-0850

Fax

(619) 589-0878

NPI assigned

May 27, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Beth JacobsonNPI 1578531836

Title

Owner

Phone

(619) 589-0850

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.

• Beth Jean Jacobson, PT, ATC

  • Orthopedic Physical Therapist
  • La Mesa, CA
  • NPI 1578531836
  NPD (past) Authorized official
• David J Najafi, MD

  • Ophthalmology Physician
  • La Mesa, CA
  • NPI 1396715991
  NPD (past)

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1194950667",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "5565 GROSSMONT CENTER DRIVE",
            "address_2": "BLDG. 3 SUITE 461",
            "city": "LA MESA",
            "state": "CALIFORNIA",
            "postal_code": "91942",
            "telephone_number": "619-589-0850",
            "fax_number": "619-589-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR",
            "address_2": "BLDG. 3, SUITE 461",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423020",
            "telephone_number": "619-589-0850",
            "fax_number": "619-589-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY AND SPORTS MEDICINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-589-0850",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT8986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarrad Marshall Phillips, ATC
• Julie Christine Phillips, M.D.
• Justine Phillips, ATC
• Lanard Phillips Sr.
• Kelly Phommahaxay, M.D.
• Physician Assistant Surgassist, Inc.
• Physiotherapy Associates, Inc.
• Kate R Pierce
• Rebecca Claire Pierce, DPT
• David Pinero

• Physical Therapy Clinic/Center in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; 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.