Cancer Therapy Specialists Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CANCER THERAPY SPECIALISTS INC

Practice address

171 Calle Magdalena Ste 102
Encinitas, CA 92024-3745

NPI assigned

Dec 13, 2022

Organization subpart

No

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

Authorized official

Name

Tammy Elizabeth Mondry, PTNPI 1225089238

Title

Doctor of Physical Therapy

Phone

(760) 622-8686

Specialties & licenses 1

Addresses

Other names 1

• Coastal Edema Care Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Practitioners 1

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

• Tammy Elizabeth Mondry, DPT, MSRS, CLT-LANA

  • Physical Therapist
  • Encinitas, CA
  • NPI 1225089238
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1215648043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 PASEO PACIFICA",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243644",
            "telephone_number": "619-415-5817",
            "fax_number": "619-934-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 CALLE MAGDALENA STE 102",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER THERAPY SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "MONDRY",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "760-622-8686",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Edema Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Camino Village Dentistry, Prof. Corp
• Jill Campbell
• Kelvin Campbell, PT
• Maria A Campbell, N.P.
• Shawna Kimberly Campbell
• Atilio Andres Canessa, DDS
• Elliot Benson Canter, DC
• Shenika Cantrell, DMD, MBA
• Tien Johnny Bao Cao-Nguyen, OD
• Nikolas George Capetanakis, D.O.

• Physical Therapist in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.