Active NPI
Vera Rakic, DPT
- Physical Therapist
- Chula Vista, CA
National Provider Identifier
1396749644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 28599
- Practice address
- 480 4TH Ave
Suite 301
Chula Vista, CA 91910-4410 - Phone
- (619) 409-3690
- Fax
- (619) 409-3695
- NPI assigned
- Jun 1, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 28599 | CA | Primary |
Addresses
Primary practice location
480 4TH Ave
Suite 301
Chula Vista, CA 91910-4410
Mailing address
480 4TH Ave
Suite 301
Chula Vista, CA 91910-4410
Phone (619) 409-3605
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPT 285990 | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 78.03 of 100
- Quality
- 78.11
- Improvement activities
- 40
- Cost
- 33.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 28599 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William C Eves M D Inc | Current | Accepting new patients | |
| MDRS Spine & Sport, Inc | Physical Therapist | Past | Accepting new patients |
| MDRS Spine & Sport, Inc | Physical Therapist | Past | Accepting new patients |
Locations
480 Fourth Ave
Ste 307
Chula Vista, CA 91910
Phone (619) 409-3605
480 Fourth Ave
Ste 301
Chula Vista, CA 91910
Phone (619) 409-3605
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Chula Vista, CA
- NPI 1285798033
-
- Physical Therapist
- Temecula, CA
- NPI 1689824203
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1952394603
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380499200000",
"number": "1396749644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 4TH AVE",
"address_2": "SUITE 301",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919104410",
"telephone_number": "619-409-3605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 4TH AVE",
"address_2": "SUITE 301",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919104410",
"telephone_number": "619-409-3690",
"fax_number": "619-409-3695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAKIC",
"first_name": "VERA",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-01",
"last_updated": "2013-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 28599",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "OPT 285990",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.