NPIMap

Organization Active NPI

Proactive Physical Therapy & Sports Medicine Inc

  • Physical Therapy Clinic/Center
  • Carlsbad, CA
National Provider Identifier
1285729509
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PROACTIVE PHYSICAL THERAPY & SPORTS MEDICINE INC
Practice address
6070 Avenida Encinas
Carlsbad, CA 92011-1001
Phone
(760) 444-0102
Fax
(760) 688-3131
NPI assigned
Oct 3, 2006
Last updated
Feb 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Steven Richard Dipaola, PT
Title
Owner / Ceo
Phone
(480) 653-8200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X NU
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

6070 Avenida Encinas
Carlsbad, CA 92011-1001

Mailing address

6070 Avenida Encinas
Carlsbad, CA 92011-1001
Phone (760) 444-0102

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061201000533 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1557369436 Receives reassigned benefits from 90 practitioners
Practice locations: San Diego, CA; Vista, CA; Tustin, CA; San Clemente, CA; Carlsbad, CA; Huntington Beach, CA; National City, CA; Mission Viejo, CA

National Provider Directory

National Provider Directory
Tax ID family
Proactiv Physical Therapy Sports Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

26522 La Alameda
Ste 100
Mission Viejo, CA 92691
Phone (949) 582-2555

2345 E 8th St
Ste 106
National City, CA 91950
Phone (619) 323-2040

2345 E 8th St
Ste 109
National City, CA 91950
Phone (619) 323-2040

100 Avenida La Pata
Ste 120
San Clemente, CA 92673
Phone (949) 368-7415

12000 Carmel Country Rd
San Diego, CA 92130
Phone (858) 509-9600

12220 World Trade Dr
Ste 130
San Diego, CA 92128
Phone (858) 381-5084

17150 Via del Campo
Ste 200
San Diego, CA 92127
Phone (858) 381-5084

3665 Ruffin Rd
Ste 304
San Diego, CA 92123
Phone (619) 930-9750

1025 Service Pl
Ste 200
Vista, CA 92084
Phone (760) 842-8824

Practitioners & affiliated clinicians

Practitioners 99

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 99

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1285729509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6070 AVENIDA ENCINAS",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111001",
            "telephone_number": "760-444-0102",
            "fax_number": "760-688-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6070 AVENIDA ENCINAS",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111001",
            "telephone_number": "760-444-0102",
            "fax_number": "760-688-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE PHYSICAL THERAPY & SPORTS MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "DIPAOLA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "480-653-8200",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.