Active NPI
Pua Kapu, PHYSICAL THERAPY
- Physical Therapist
- Carlsbad, CA
National Provider Identifier
1215225644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 19632
- Practice address
- 5050 Avenida Encinas
Suite # 250
Carlsbad, CA 92008-4381 - Phone
- (760) 729-5433
- Fax
- (619) 308-6004
- NPI assigned
- Jul 19, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 19632 | CA | Primary |
Addresses
Primary practice location
5050 Avenida Encinas
Suite # 250
Carlsbad, CA 92008-4381
Mailing address
5050 Avenida Encinas
Suite # 250
Carlsbad, CA 92008-4381
Phone (760) 729-5433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 19632 | CA | MD | Physical Therapist |
| 19632 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aqe Physical Therapy, Inc | Current | Accepting new patients | |
| Active Life Rehab, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
433 N 4th St
Ste 216
Montebello, CA 90640
Phone (323) 530-0433
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Montebello, CA
- NPI 1366959017
-
- Geriatric Physical Therapist
- Escondido, CA
- NPI 1346295805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311033600000",
"number": "1215225644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5050 AVENIDA ENCINAS",
"address_2": "SUITE # 250",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920084381",
"telephone_number": "760-729-5433",
"fax_number": "619-308-6004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 AVENIDA ENCINAS",
"address_2": "SUITE # 250",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920084381",
"telephone_number": "760-729-5433",
"fax_number": "619-308-6004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPU",
"first_name": "PUA",
"credential": "PHYSICAL THERAPY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-19",
"last_updated": "2011-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 19632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.