Organization Active NPI

Physiofixx Ipt Physical Therapy Corp

  • Orthopedic Physical Therapist
  • San Diego, CA
National Provider Identifier
1386290013
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
PHYSIOFIXX IPT PHYSICAL THERAPY CORP
Doing business as
Inniss Physical Therapy
Practice address
6475 Alvarado Rd Ste 118
San Diego, CA 92120-5007
Phone
(858) 342-9538
NPI assigned
Aug 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Authorized official

Name
Sandra L Daniel, PT, DPT, ,OCS
Title
Ceo
Phone
(858) 342-9538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

6475 Alvarado Rd Ste 118
San Diego, CA 92120-5007

Mailing address

7429 Stoneview CT
San Diego, CA 92119-1212
Phone (858) 342-9538

Other practice location 1

7290 Navajo Rd Ste 111
San Diego, CA 92119-1631
Phone (619) 535-6964

Other names 1

  • Inniss Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

6475 Alvarado Rd
Ste 118
San Diego, CA 92120
Phone (619) 287-4678

7290 Navajo Rd
Ste 111
San Diego, CA 92119
Phone (619) 535-6964

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1386290013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7429 STONEVIEW CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921191212",
            "telephone_number": "858-342-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 ALVARADO RD STE 118",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205007",
            "telephone_number": "858-342-9538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7290 Navajo Rd Ste 111",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921191631",
            "country_code": "US",
            "telephone_number": "619-535-6964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSIOFIXX IPT PHYSICAL THERAPY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-342-9538",
        "authorized_official_credential": "PT, DPT, ,OCS"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inniss Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 19, 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.