NPIMap

Organization Active NPI

CRS Physical Therapy Inc.

Doing business as Ocean Physical Therapy

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1265478358
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20075 Issued in CA
Legal business name
CRS PHYSICAL THERAPY INC.
Doing business as
Ocean Physical Therapy
Prava California
Practice address
4501 Mission Bay Dr
Suite 3K
San Diego, CA 92109-4923
Phone
(858) 866-0340
Fax
(858) 866-0342
NPI assigned
Jun 20, 2006
Last updated
May 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Timothy Eby
Title
Corporate Officer
Phone
(877) 472-2261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT20075 CA Primary

Addresses

Primary practice location

4501 Mission Bay Dr
Suite 3K
San Diego, CA 92109-4923

Mailing address

4501 Mission Bay Dr Ste 3K
San Diego, CA 92109-4926
Phone (858) 866-0340

Other identifiers 4

IdentifierTypeStateIssuer
810098482OtherCAPRIVATE HEALTHCARE SYSTEM
361238600OtherCAAFFILIATED COMP SERVICES
CA25980605OtherCAPREFERRED THERAPY PROVDRS
ZZZ61556ZOtherCABLUE SHIELD OF CA

Other names 2

  • Ocean Physical Therapy Doing business as
  • Prava California Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120201000057 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1355508433 Receives reassigned benefits from 94 practitioners
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 95

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.

View all 95

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1265478358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 MISSION BAY DR STE 3K",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094926",
            "telephone_number": "858-866-0340",
            "fax_number": "858-866-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 MISSION BAY DR",
            "address_2": "SUITE 3K",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094923",
            "telephone_number": "858-866-0340",
            "fax_number": "858-866-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRS PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "EBY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CORPORATE OFFICER",
        "authorized_official_telephone_number": "877-472-2261"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT20075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTHCARE SYSTEM",
            "identifier": "810098482",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFILIATED COMP SERVICES",
            "identifier": "361238600",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED THERAPY PROVDRS",
            "identifier": "CA25980605",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ61556Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocean Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ocean Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prava California",
            "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 May 11, 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.