Edward Ayub M S a P C

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5573 Issued in CA

Legal business name

EDWARD AYUB M S A P C

Practice address

3145 Rosecrans St #F
San Diego, CA 92110

Phone

(619) 223-7175

Fax

(619) 223-7030

NPI assigned

Jun 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Edward Ayub, PHYSICAL THERAPIST

Title

President

Phone

(619) 223-7175

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1295775567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 ROSECRANS ST",
            "address_2": "#F",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92100",
            "telephone_number": "619-223-7175",
            "fax_number": "619-223-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 ROSECRANS ST #F",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92110",
            "telephone_number": "619-223-7175",
            "fax_number": "619-223-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD AYUB M S A P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "AYUB",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-223-7175",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT5573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Apr 9, 2018; 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.