Active NPI
Combat Physical and Occupational Therapy , Inc.
- Physical Therapy Clinic/Center
- San Diego, CA
National Provider Identifier
1437724820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- COMBAT PHYSICAL AND OCCUPATIONAL THERAPY , INC.
- Practice address
- 3919 Normal St Apt 206
San Diego, CA 92103-3463 - Phone
- (412) 952-9726
- NPI assigned
- May 26, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gina Cornacchione, OTR/L, DPT
- Title
- Physical and Occupational Therapist
- Phone
- (412) 952-9726
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
3919 Normal St Apt 206
San Diego, CA 92103-3463
Mailing address
1041 Market St # 190
San Diego, CA 92101-7233
National Provider Directory
National Provider DirectoryPractitioners & 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": "1621987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621987200000",
"number": "1437724820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 MARKET ST # 190",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921017233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3919 NORMAL ST APT 206",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921033463",
"telephone_number": "412-952-9726"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMBAT PHYSICAL AND OCCUPATIONAL THERAPY , INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-26",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A",
"authorized_official_last_name": "CORNACCHIONE",
"authorized_official_first_name": "GINA",
"authorized_official_title_or_position": "PHYSICAL AND OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "412-952-9726",
"authorized_official_credential": "OTR/L, DPT"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"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 May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.