Individual provider Active NPI

Sophie Dingman

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1295562833
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
306401 Issued in CA
Practice address
7425 Mission Valley Rd Ste 201
San Diego, CA 92108-4409
Phone
(619) 291-3400
NPI assigned
Sep 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 306401 CA Primary

Addresses

Primary practice location

7425 Mission Valley Rd Ste 201
San Diego, CA 92108-4409

Mailing address

4600 Lamont St Unit 4-307
San Diego, CA 92109
Phone (818) 665-9756

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241002002442 CA Practitioner - Physical Therapist in Private Practice 4486185352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select San Diego Physical Therapy PCGroup PAC ID 4981088994, 58 clinicians

Practice addresses (Care Compare)

7425 Mission Valley Rd
Suite 201
San Diego, CA 92108-4409
Phone (619) 291-3400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
306401CAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Select San Diego Physical Therapy, PC. Physical Therapist CurrentSince Sep 25, 2024 Accepting new patients
Select San Diego Physical Therapy, PC. Physical Therapist CurrentSince Sep 25, 2024 Accepting new patients
Select San Diego Physical Therapy, PC. Current Accepting new patients

Locations

15525 Pomerado Rd
Ste C8
Poway, CA 92064
Phone (858) 674-4263

16935 W Bernardo Dr
Ste 180
San Diego, CA 92127
Phone (858) 217-5837

4910 Directors Pl
Ste 370
San Diego, CA 92121
Phone (858) 554-0522

3737 Moraga Ave
Ste B117
San Diego, CA 92117
Phone (858) 270-0981

11515 El Camino Real
Ste 130
San Diego, CA 92130
Phone (858) 793-1460

1 Civic Center Dr
Ste 360
San Marcos, CA 92069
Phone (760) 653-2429

400 S Melrose Dr
Ste 215
Vista, CA 92081
Phone (760) 509-9901

Organizations & group practices 6

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": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1295562833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 LAMONT ST UNIT 4-307",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92109",
            "telephone_number": "818-665-9756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7425 MISSION VALLEY RD STE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084409",
            "telephone_number": "619-291-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINGMAN",
        "first_name": "SOPHIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306401",
            "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 Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.