NPIMap

Organization Active NPI

PT First Physical Therapy PC

  • Physical Therapy Clinic/Center
  • San Diego, CA
National Provider Identifier
1346078045
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PT FIRST PHYSICAL THERAPY PC
Practice address
4747 Mission Blvd Ste 4a
San Diego, CA 92109-2541
Phone
(619) 917-8693
Fax
(858) 581-6999
NPI assigned
Jul 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Elizabeth Anne Philbin, PT, DPTNPI 1720423866
Title
Ceo, Owner
Phone
(619) 917-8693

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

4747 Mission Blvd Ste 4a
San Diego, CA 92109-2541

Mailing address

8235 Prospect Ave
Santee, CA 92071-3562
Phone (619) 917-8693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241203003284 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0446786230 Receives reassigned benefits from 2 practitioners
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1346078045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8235 PROSPECT AVE",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713562",
            "telephone_number": "619-917-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 MISSION BLVD STE 4A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092541",
            "telephone_number": "619-917-8693",
            "fax_number": "858-581-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT FIRST PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "PHILBIN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "619-917-8693",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.