Base Camp Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BASE CAMP PHYSICAL THERAPY

Practice address

29105 Valley Center Rd Ste 150
Valley Center, CA 92082-6536

Phone

(626) 375-8445

NPI assigned

Jun 9, 2022

Organization subpart

No

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

Authorized official

Name

Kimberly Takaoka-Martineau, DPTNPI 1811465768

Title

Co-Owner

Phone

(626) 375-8445

Specialties & licenses 1

Addresses

Other names 2

• Base Camp PT Doing business as
• Base Camp Valley Center Physical Therapy Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Dawn Takaoka-Martineau, DPT

  • Physical Therapist
  • Valley Center, CA
  • NPI 1811465768
  NPD Authorized official

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1295464675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13521 CORRAL CT",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920826971",
            "telephone_number": "626-375-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29105 VALLEY CENTER RD STE 150",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920826536",
            "telephone_number": "626-375-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASE CAMP PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-09",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "TAKAOKA-MARTINEAU",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "626-375-8445",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@basecampvc.com",
            "affiliation": "N",
            "address_1": "13521 Corral Ct",
            "city": "Valley Center",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920826971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Base Camp PT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Base Camp PT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Base Camp Valley Center Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bridget Anderson, ACSW
• Mabel Asamoah Anti Asiedu
• Arch Health Partners
• Gail Barber, R.N.,N.P.
• Rebekah Anne Barratt, PH.D.
• Regin Baya, RN
• Corinne M Biggs
• Joseph Peter Blaine, RN
• Chance James Bodini, DDS
• Sherry Sue Boroff

• Physical Therapy Clinic/Center in Valley Center, CA
• Providers in Valley Center, 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 Oct 3, 2023; 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.