Organization Active NPI

Combat Physical and Occupational Therapy , Inc.

  • Physical Therapy Clinic/Center
  • San Diego, CA
National Provider Identifier
1437724820
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on May 26, 2021

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)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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.

Verify at the official NPI Registry.