Active NPI
Sally Ann Tripp, MPT
- Physical Therapist
- San Diego, CA
National Provider Identifier
1346432523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT28042
- Practice address
- 300 Fir St
San Diego, CA 92101-2327 - Phone
- (619) 446-1730
- NPI assigned
- Aug 13, 2007
- Last updated
- Feb 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT28042 | CA | Primary |
Addresses
Primary practice location
300 Fir St
San Diego, CA 92101-2327
Mailing address
5651 Copley Dr
San Diego, CA 92111-7903
Phone (858) 262-6344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28042 | CA | MD | Dentist |
| PT28042 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Medical Injury & Rehabilitation Physicians Inc | Past | Accepting new patients | |
| Prime Care Therapeutic Services Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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-
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- Van Nuys, CA
- NPI 1720391097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1346432523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5651 COPLEY DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921117903",
"telephone_number": "858-262-6344",
"fax_number": "858-636-2032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 FIR ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921012327",
"telephone_number": "619-446-1730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIPP",
"first_name": "SALLY",
"middle_name": "ANN",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-13",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT28042",
"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 Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.