Individual provider Active NPI

Olymphea Dela Cruz, RPT

  • Physical Therapist
  • National City, CA
National Provider Identifier
1366808941
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
43573 Issued in CA
Practice address
2441 E Plaza Blvd
National City, CA 91950-5101
Phone
(619) 434-2063
NPI assigned
Jan 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 43573 CA Primary

Addresses

Primary practice location

2441 E Plaza Blvd
National City, CA 91950-5101

Mailing address

7530 Carrie Ridge Way
San Diego, CA 92139-1331
Phone (619) 272-1480

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161102001592 CA Practitioner - Physical Therapist in Private Practice 0143508739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Resources IncGroup PAC ID 5799974283, 3 clinicians

Practice addresses (Care Compare)

1727 Sweetwater Rd
Suite 117
National City, CA 91950-7651
Phone (619) 434-2063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
43573CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Resources Inc. Physical Therapist CurrentSince Jan 1, 2016 Accepting new patients

Locations

2441 E Plaza Blvd
National City, CA 91950
Phone (619) 434-2063

1727 Sweetwater Rd
Ste 117
National City, CA 91950
Phone (619) 203-3051

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1366808941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7530 CARRIE RIDGE WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921391331",
            "telephone_number": "619-272-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 E PLAZA BLVD",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919505101",
            "telephone_number": "619-434-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA CRUZ",
        "first_name": "OLYMPHEA",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "43573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.