NPIMap

Organization Active NPI

Beth Scalone PT, Inc

Doing business as North County Water and Sports Therapy Center

  • Physical Therapy Clinic/Center
  • San Diego, CA
National Provider Identifier
1396776704
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BETH SCALONE PT, INC
Doing business as
North County Water and Sports Therapy Center
Practice address
15373 Innovation Dr
Suite 175
San Diego, CA 92128-3427
Phone
(858) 675-1133
Fax
(858) 675-1151
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Ms. Beth Ann Scalone, DPT, OCSNPI 1568487296
Title
Owner/ Ceo
Phone
(858) 675-1133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

15373 Innovation Dr
Suite 175
San Diego, CA 92128-3427

Mailing address

15373 Innovation Dr
Suite 175
San Diego, CA 92128-3427
Phone (858) 675-1133

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ04660ZOtherCABLUE CROSS OF CA PROVIDER

Other names 1

  • North County Water and Sports Therapy Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040806001143 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6608848049 Receives reassigned benefits from 15 practitioners
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

2657 Ariane Dr
San Diego, CA 92117
Phone (619) 453-0953

15373 Innovation Dr
Ste 175
San Diego, CA 92128
Phone (858) 675-1133

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1396776704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15373 INNOVATION DR",
            "address_2": "SUITE 175",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283427",
            "telephone_number": "858-675-1133",
            "fax_number": "858-675-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15373 INNOVATION DR",
            "address_2": "SUITE 175",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283427",
            "telephone_number": "858-675-1133",
            "fax_number": "858-675-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH SCALONE PT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "SCALONE",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "858-675-1133",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF CA PROVIDER",
            "identifier": "ZZZ04660Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North County Water and Sports Therapy Center",
            "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 Jun 2, 2014; 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.