Family Care Physical Therapy, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FAMILY CARE PHYSICAL THERAPY, INC

Practice address

1071 Broadway
El Cajon, CA 92021-4804

Phone

(619) 581-0796

NPI assigned

Sep 16, 2020

Last updated

Sep 16, 2020By 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

Mr. Samer Aldaheen

Title

Manager

Phone

(619) 581-0796

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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.

• Huy M Diep, PT

  • Physical Therapist
  • El Cajon, CA
  • NPI 1447765508
  Medicare reassignment NPD
• Norman G. Hardman, PT

  • Physical Therapist
  • San Diego, CA
  • NPI 1306840657
  Medicare reassignment NPD

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1245846278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 BROADWAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920214804",
            "telephone_number": "619-581-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 BROADWAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920214804",
            "telephone_number": "619-581-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "ALDAHEEN",
        "authorized_official_first_name": "SAMER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "619-581-0796",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Corazon Fajardo, DDS
• Brianna Nicole Falcon
• Michael Falcone
• Alice Corpuz Famador, AGNP
• Gabriel Rey Famador, LVN
• Family Focus Christian Counseling
• Family Health Centers of San Diego (Chase Avenue Family Health Center)
• Family Health Centers of San Diego (Chase Avenue Family Health Center)
• Family Health Centers of San Diego (Chase Avenue Family Health Center)
• Family Health Centers of San Diego Inc (Main on Mollison Family Health Center)

• Physical Therapy Clinic/Center in El Cajon, CA
• Providers in El Cajon, 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 Sep 16, 2020; 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.