NPIMap

Organization Active NPI

Barbara Jean Boutelle Carlsbad Physical Therapy

Doing business as Sorrento Valley Physical Therapy and Hand Center

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1235187550
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BARBARA JEAN BOUTELLE CARLSBAD PHYSICAL THERAPY
Doing business as
Sorrento Valley Physical Therapy and Hand Center
Practice address
6195 Cornerstone CT
Ste. 101
San Diego, CA 92121-4728
Phone
(858) 452-4324
Fax
(858) 452-3102
NPI assigned
May 5, 2006
Last updated
Aug 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Authorized official

Name
Ms. Barbara Jean Boutelle, R.P.TNPI 1437107711
Title
Owner/Secretary
Phone
(760) 591-7750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CA Primary
Occupational Therapist 225X00000X CA

Addresses

Primary practice location

6195 Cornerstone CT
Ste. 101
San Diego, CA 92121-4728

Mailing address

600 S Andreasen Dr Ste C
Escondido, CA 92029-1917
Phone (760) 591-7750

Other names 1

  • Sorrento Valley Physical Therapy and Hand Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000823 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4082527189 Receives reassigned benefits from 32 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Santee, CA; Vista, CA; San Marcos, CA; San Diego, CA; Ramona, CA; Oceanside, CA; Escondido, CA; Carlsbad, CA

Other NPIs on the same Medicare enrollment 9

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

National Provider Directory

National Provider Directory
Tax ID family
Barbara Jean Boutelle Carlsbad Physical Therapy12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1235187550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S ANDREASEN DR STE C",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920291917",
            "telephone_number": "760-591-7750",
            "fax_number": "760-294-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6195 CORNERSTONE CT",
            "address_2": "STE. 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214728",
            "telephone_number": "858-452-4324",
            "fax_number": "858-452-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA JEAN BOUTELLE CARLSBAD PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "BOUTELLE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/SECRETARY",
        "authorized_official_telephone_number": "760-591-7750",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.P.T"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sorrento Valley Physical Therapy and Hand Center",
            "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 Aug 14, 2026; 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.