NPIMap

Organization Active NPI

Barbara Jean Boutelle/Carlsbad Physical Therapy

Doing business as Eastlake Physical Therapy and HandCenter

  • Physical Therapist
  • Chula Vista, CA
National Provider Identifier
1295783520
Registry record updated Oct 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BARBARA JEAN BOUTELLE/CARLSBAD PHYSICAL THERAPY
Doing business as
Eastlake Physical Therapy and HandCenter
Practice address
891 Kuhn Dr
Ste. 101
Chula Vista, CA 91914-3551
Phone
(619) 656-6470
Fax
(619) 656-6614
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2008

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

Authorized official

Name
Ms. Barbara Jean Boutelle, M.P.T.NPI 1437107711
Title
Owner/Secretary
Phone
(760) 591-7750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X CA Primary
Hand Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251H1200X CA
Hand Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XH1200X CA

Addresses

Primary practice location

891 Kuhn Dr
Ste. 101
Chula Vista, CA 91914-3551

Mailing address

600 S Andreasen Dr
Ste C
Escondido, CA 92029-1917
Phone (760) 591-7750

Other names 1

  • Eastlake Physical Therapy and HandCenter Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Barbara Jean Boutelle C12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

891 Kuhn Dr
Ste 101
Chula Vista, CA 91914
Phone (619) 656-6470

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224460800000",
    "number": "1295783520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S ANDREASEN DR",
            "address_2": "STE C",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920291917",
            "telephone_number": "760-591-7750",
            "fax_number": "760-294-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 KUHN DR",
            "address_2": "STE. 101",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919143551",
            "telephone_number": "619-656-6470",
            "fax_number": "619-656-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA JEAN BOUTELLE/CARLSBAD PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2008-10-20",
        "status": "A",
        "authorized_official_last_name": "BOUTELLE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/SECRETARY",
        "authorized_official_telephone_number": "760-591-7750",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Hand",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastlake Physical Therapy and HandCenter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; 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.