Organization Active NPI

Redemption Physical Therapy PC

  • Pediatric Physical Therapist
  • San Diego, CA
National Provider Identifier
1407765126
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
REDEMPTION PHYSICAL THERAPY PC
Practice address
17190 Bernardo Center Dr Ste 200
San Diego, CA 92128-7031
Phone
(619) 762-8707
NPI assigned
Sep 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Authorized official

Name
Dr. Itzel Jimenez, DPT
Title
Ceo
Phone
(623) 433-6498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251P0200X Primary

Addresses

Primary practice location

17190 Bernardo Center Dr Ste 200
San Diego, CA 92128-7031

Mailing address

17190 Bernardo Center Dr Ste 200
San Diego, CA 92128-7031
Phone (619) 762-8707

NPI Registry JSON

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

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788739200000",
    "number": "1407765126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17190 BERNARDO CENTER DR STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921287031",
            "telephone_number": "619-762-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17190 BERNARDO CENTER DR STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921287031",
            "telephone_number": "619-762-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEMPTION PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "ITZEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "623-433-6498",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.