Daniel Mortimer

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

294491 Issued in CA

Practice address

585 Saturn Blvd Ste a
San Diego, CA 92154-4721

Phone

(619) 591-1190

Fax

(619) 565-1656

NPI assigned

Feb 17, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• MDRS Spine & Sport, Inc

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1952394603

  Physical Therapist

  Medicare reassignment NPD
• Regenerate Physical Therapy and Performance

  • Physical Therapy Clinic/Center
  • Poway, CA
  • NPI 1437848967
  NPD Authorized official
• MDRS Spine & Sport, Inc

  • Physical Therapist
  • Temecula, CA
  • NPI 1689824203
  NPD
• Tag Physical Therapy, Inc

  • Physical Therapist
  • El Segundo, CA
  • NPI 1063581965
  NPD (past)

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

{
    "created_epoch": "1518825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1316447279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 SATURN BLVD STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921544721",
            "telephone_number": "619-591-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 SATURN BLVD STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921544721",
            "telephone_number": "619-591-1190",
            "fax_number": "619-565-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTIMER",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-17",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "294491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Morson, IDC
• Scarlette Mortellaro
• Lunora Cruz Evangelista Mortenson
• Morteza Mirkarimi
• Andrew Mortimer, D.O.
• Dori R Mortimer, MD
• Melissa Marie Mortin, MS, APRN, ANP-BC
• Agnes Y Mortison, R.N. P.H.N.
• Asa D Morton, M.D.
• Haley Carloni Morton

• 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 Sep 12, 2019; 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.

Verify at the official NPI Registry.