M Drew Von Pohle Physical Therapy a Professional Corporation

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT10015 Issued in CA

Legal business name

M DREW VON POHLE PHYSICAL THERAPY A PROFESSIONAL CORPORATION

Doing business as

South Bay Physical Therapy

Practice address

637 3Rd Ave
Suite H
Chula Vista, CA 91910-5707

Phone

(619) 422-0145

Fax

(619) 422-3121

NPI assigned

Jul 29, 2006

Last updated

Nov 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. M Drew Von Pohle, RPT

Title

President Owner

Phone

(619) 422-0145

Specialties & licenses 1

Addresses

Other names 1

• South Bay Physical Therapy Doing business as

Locations

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226016000000",
    "number": "1336154301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 3RD AVE",
            "address_2": "SUITE H",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105707",
            "telephone_number": "619-422-0145",
            "fax_number": "619-422-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 3RD AVE",
            "address_2": "SUITE H",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105707",
            "telephone_number": "619-422-0145",
            "fax_number": "619-422-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M DREW VON POHLE PHYSICAL THERAPY A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2008-11-07",
        "status": "A",
        "authorized_official_last_name": "VON POHLE",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "DREW",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "619-422-0145",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT10015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Bay Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kyle Lynch, PT, DPT
• Lamance Lynch
• Laura J Lynn I, PT, DPT
• Elizabeth Lyons
• Stephanie Lyulkin, NP
• Julio Alberto Ma Suy
• Jennifer Ma
• Jennifer Ma
• Lizeth Veronica Ma, LMFT
• Lauren Maalouf, PT, DPT

• Physical Therapist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.