Active NPI
North County Sports Medicine and Physical Therapy Corp
- Physical Therapy Clinic/Center
- Oceanside, CA
National Provider Identifier
1306394382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 39553
- Legal business name
- NORTH COUNTY SPORTS MEDICINE AND PHYSICAL THERAPY CORP
- Practice address
- 4055 Oceanside Blvd Ste C
Oceanside, CA 92056-5821 - Phone
- (760) 586-2728
- NPI assigned
- Sep 19, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jennifer Sharpe, PT
- Title
- PT/Owner
- Phone
- (760) 586-2728
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 39553 | CA | Primary |
Addresses
Primary practice location
4055 Oceanside Blvd Ste C
Oceanside, CA 92056-5821
Mailing address
4055 Oceanside Blvd Ste C
Oceanside, CA 92056-5821
Phone (760) 586-2728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190408002732 | CA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 0446591010 |
Receives reassigned benefits from 5 practitioners Practice locations: Oceanside, CA |
National Provider Directory
National Provider DirectoryLocations
4055 Oceanside Blvd
Ste C
Oceanside, CA 92056
Phone (760) 586-2728
4055 Oceanside Blvd
Ste F
Oceanside, CA 92056
Phone (760) 586-2728
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopedic Physical Therapist
- Oceanside, CA
- NPI 1053135988
CA, Physical Therapist
-
- Chiropractor
- Oceanside, CA
- NPI 1356306732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1540598400000",
"number": "1306394382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4055 OCEANSIDE BLVD STE C",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920565821",
"telephone_number": "760-586-2728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4055 OCEANSIDE BLVD STE C",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920565821",
"telephone_number": "760-586-2728"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH COUNTY SPORTS MEDICINE AND PHYSICAL THERAPY CORP",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-19",
"last_updated": "2018-10-27",
"status": "A",
"authorized_official_last_name": "SHARPE",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "PT/OWNER",
"authorized_official_telephone_number": "760-586-2728",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "CA",
"license": "39553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.