Active NPI
Sandra Rodriguez Harris, PT
- Physical Therapist
- Chula Vista, CA
National Provider Identifier
1265669592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT21461
- Practice address
- 2583 View Trail CT
Chula Vista, CA 91914-4150 - Phone
- (619) 887-1475
- Fax
- (619) 482-0627
- NPI assigned
- Jun 13, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT21461 | CA | Primary |
| Geriatric Physical Therapist | 2251G0304X | PT21461 | CA | |
| Orthopedic Physical Therapist | 2251X0800X | PT21461 | CA |
Addresses
Primary practice location
2583 View Trail CT
Chula Vista, CA 91914-4150
Mailing address
2583 View Trail CT
Chula Vista, CA 91914-4150
Phone (619) 887-1475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT21461 | CA | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244851200000",
"number": "1265669592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2583 VIEW TRAIL CT",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919144150",
"telephone_number": "619-887-1475",
"fax_number": "619-482-0627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2583 VIEW TRAIL CT",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919144150",
"telephone_number": "619-887-1475",
"fax_number": "619-482-0627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "SANDRA",
"middle_name": "RODRIGUEZ",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-13",
"last_updated": "2009-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT21461",
"primary": true
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "CA",
"license": "PT21461",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT21461",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.