Active NPI
Jay Albrandt, PTA
- Physical Therapy Assistant
- San Diego, CA
National Provider Identifier
1295099232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- AT3104
- Practice address
- 2355 Northside Dr
#100
San Diego, CA 92108-2705 - Phone
- (800) 458-7777
- Fax
- (800) 863-2978
- NPI assigned
- Jun 25, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | AT3104 | CA | Primary |
Addresses
Primary practice location
2355 Northside Dr
#100
San Diego, CA 92108-2705
Mailing address
8235 Harton PL
San Diego, CA 92123-3818
Phone (858) 278-1433
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 |
|---|---|---|---|
| AT3104 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therastaff LLC | Physical Therapy Assistant | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340582400000",
"number": "1295099232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8235 HARTON PL",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921233818",
"telephone_number": "858-278-1433",
"fax_number": "858-278-1433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2355 NORTHSIDE DR",
"address_2": "#100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921082705",
"telephone_number": "800-458-7777",
"fax_number": "800-863-2978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBRANDT",
"first_name": "JAY",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-25",
"last_updated": "2012-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "AT3104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.