Courtney Gaardsmoe, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

300738 Issued in CA

Practice address

3020 Childrens Way # Mc5068
San Diego, CA 92123-4223

Phone

(858) 966-8100

NPI assigned

Sep 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Blake Physical Therapy, PC

  • Orthopedic Physical Therapist
  • Santa Monica, CA
  • NPI 1750350476
  Medicare reassignment NPD
• Rady Children'S Hospital San Diego

  • Children's Rehabilitation Hospital
  • San Diego, CA
  • NPI 1174907216
  NPD (past)
• Rady Children'S Hospital San Diego

  • Children's Rehabilitation Hospital
  • San Diego, CA
  • NPI 1184008229
  NPD (past)

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1285303701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 CHILDRENS WAY # MC5068",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 CHILDRENS WAY # MC5068",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234223",
            "telephone_number": "858-966-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAARDSMOE",
        "first_name": "COURTNEY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• G.C. Ashmore Dental Corp.
• G.L. Berry D.D.S., a Dental Corporation
• G.L.Berry,DDS a Dental Corporation
• G.R. Paul Medical Group, Inc
• G.R. Paul Medical Group, Inc
• Jacklyn Gaba, BCAT
• Mohammadkheir Gaba, BSN RN, PHN
• Serenity Gabaldon
• Philip-Jerome Gaballo
• Josephine Ann Gabat-Siababa

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.