Concierge Personal Training LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CONCIERGE PERSONAL TRAINING LLC

Practice address

239 Tamarack Ave Apt B
Carlsbad, CA 92008-4087

Phone

(858) 284-8004

NPI assigned

Jan 31, 2022

Organization subpart

No

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

Authorized official

Name

Rachael Diane Ross

Title

President

Phone

(858) 449-6954

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1275286247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 TAMARACK AVE APT B",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920084087",
            "telephone_number": "858-449-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 TAMARACK AVE APT B",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920084087",
            "telephone_number": "858-284-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE PERSONAL TRAINING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-449-6954"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.conciergepersonaltrainingsd.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "239 Tamarack Ave Apt B",
            "city": "Carlsbad",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920084087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lizeth C Colmenares, BT
• Wendy Colson, RN, IBCLC
• Amanda Nicole Combs, HAD
• Comprehensive Autism Services and Education, Inc.
• Kenneth J Conboy Jr.
• Judy Condie, PT, GCS
• Martha Eugenia Condon, OTR
• Connect Hearing, Inc.
• Megan Carolyn Connolly, RD
• Conscious Physical Therapy and Integrative Wellness

• Physical Therapy Clinic/Center in Carlsbad, CA
• Providers in Carlsbad, 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 Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.