Carolyn Elizabeth Wright, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

299768 Issued in CA

Practice address

12250 El Camino Real Ste 190
San Diego, CA 92130-2298

Phone

(858) 793-1460

NPI assigned

Jan 21, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: caewright@selectmedical.com

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.

• Bespoke San Diego Physical Therapy PC

  • Physical Therapy Clinic/Center
  • San Diego, CA
  • NPI 1245847540

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1386234524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12250 EL CAMINO REAL STE 190",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302298",
            "telephone_number": "858-793-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12250 EL CAMINO REAL STE 190",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302298",
            "telephone_number": "858-793-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "CAROLYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Caewright@selectmedical.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Physiotherapy Associates Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Messaging Address",
            "address_1": "12250 El Camino Real Ste 190",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921302298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer J Wren
• Sofia Ramirez Sepulveda Wrentmore, RD, MS
• Wright Chiropractic Inc
• Denise R Wright-Huston, CCC-SLP
• Anndria Gabriela Wright
• Charlene Wright, ACSW
• Cheryl D Wright, M.D.
• Cheyenne Wright
• Christine NMN Wright, R.N., P.H.N.
• Daniel Hope Nicole Wright

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.