Level 4 Physical Therapy and Performance, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

LEVEL 4 PHYSICAL THERAPY AND PERFORMANCE, INC.

Doing business as

Level4 Physio-Wellness-Performance

Practice address

171 Saxony Rd Ste 105
Encinitas, CA 92024

Phone

(760) 503-4440

Fax

(801) 409-2137

NPI assigned

Aug 2, 2016

Last updated

Aug 21, 2019By 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

Dawn Dimitris Andalon, PTNPI 1629097795

Title

VP

Phone

(760) 503-4440

Specialties & licenses 1

Addresses

Other names 3

• Level4 Physio-Wellness-Performance Doing business as
• Level 4 Physical Therapy and Performance, Inc. Former legal business name
• Level 4 Physical Therapy & Performance, Inc. Other name

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.

• Dawn Dimitris Andalon, DPT

  • Physical Therapist
  • Encinitas, CA
  • NPI 1629097795
  Authorized official Same address or phone

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1366995870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 SAXONY RD STE 105",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920246776",
            "telephone_number": "760-503-4440",
            "fax_number": "801-409-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 SAXONY RD STE 105",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "92024",
            "telephone_number": "760-503-4440",
            "fax_number": "801-409-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVEL 4 PHYSICAL THERAPY AND PERFORMANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-02",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "ANDALON",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "DIMITRIS",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "760-503-4440",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Level4 Physio-Wellness-Performance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Level4 Physio-Wellness-Performance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Level 4 Physical Therapy and Performance, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Level 4 Physical Therapy & Performance, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Leucadia Beach Holdings LLC
• Leucadia Chiropactic Clinic, Inc.
• Leucadia Family Acupuncture
• Leanore Levario, MT
• Level 4 Physical Therapy & Performance, Inc. (Level4 Physio-Wellness-Performance)
• Steven Dennis Levitt
• Amelia Jackerson Levy, M.ED, MA, OTR/L
• Nicholas B Levy, M. D.
• Michelle Lew
• Alexa Sproull Lewis, PTA

• Physical Therapy Clinic/Center in Encinitas, CA
• Providers in Encinitas, 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 Aug 21, 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.

Verify at the official NPI Registry.