Everest Mobile Physical Therapy Corporation

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

EVEREST MOBILE PHYSICAL THERAPY CORPORATION

Practice address

2305 Historic Decatur Rd Ste 100
San Diego, CA 92106-6071

Phone

(760) 209-4868

NPI assigned

May 3, 2021

Last updated

May 3, 2021By 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

Dr. Carmen Luk, PHYSICAL THERAPISTNPI 1003001777

Title

PT, DPT

Phone

(760) 209-4868

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carmen L Luk, DPT

  • Physical Therapist
  • San Diego, CA
  • NPI 1003001777
  Authorized official Same address or phone

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1366025819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 HISTORIC DECATUR RD STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921066071",
            "telephone_number": "760-209-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 HISTORIC DECATUR RD STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921066071",
            "telephone_number": "760-209-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEREST MOBILE PHYSICAL THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "LUK",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "PT, DPT",
        "authorized_official_telephone_number": "760-209-4868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ever Rising Marriage and Family Therapy
• Ian P Everall, PHD
• Keith H Everett, DPM
• Lashaan Danielle Everett, CNM
• Ruth Jamelia Everett
• Taylor Everett
• Jasmine Everfield, OTD

• Physical Therapy Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.