Derek O'Donnell

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

301190 Issued in CA

Practice address

1817 Avenida del Diablo
Escondido, CA 92029-3112

Phone

(760) 580-4007

NPI assigned

Jan 2, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Del Dios Therapy, LLC

  dba Thrive Mobile Therapy

  • Physical Therapist
  • Carlsbad, CA
  • NPI 1386490761
  Medicare reassignment NPD

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1386453538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 AVENIDA DEL DIABLO",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920293112",
            "telephone_number": "760-580-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 AVENIDA DEL DIABLO",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920293112",
            "telephone_number": "760-580-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "DEREK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Nuterangelo-Van Leuven, APRN, FNP-BC, NP-C
• Jill Nuti, RPH
• Jessica C Nydam, MS, CCC-SLP
• Kelly A O'Bryan, PH.D.
• Brenna O'Donnell
• Kelly O'Neill
• Therese O'Neill, NMW
• Geraldine O'Sullivan, LCSW, PPSC
• Lisa Marie Oakes, CMT
• Lauren Marnel Obrowski

• Physical Therapist in Escondido, CA
• Providers in Escondido, 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 2, 2025; 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.