Organization Active NPI

Graig Gubello Physical Therapy P C

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1447090782
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GRAIG GUBELLO PHYSICAL THERAPY P C
Practice address
4318 Temecula St
San Diego, CA 92107-1126
Phone
(561) 302-8029
NPI assigned
May 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Authorized official

Name
Graig Frank Gubello, P.T.
Title
Owner, Provider
Phone
(561) 302-8029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4318 Temecula St
San Diego, CA 92107-1126

Mailing address

4318 Temecula St
San Diego, CA 92107-1126
Phone (561) 302-8029

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1447090782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 TEMECULA ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921071126",
            "telephone_number": "561-302-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 TEMECULA ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921071126",
            "telephone_number": "561-302-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAIG GUBELLO PHYSICAL THERAPY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "GUBELLO",
        "authorized_official_first_name": "GRAIG",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER, PROVIDER",
        "authorized_official_telephone_number": "561-302-8029",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "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 Aug 9, 2024; 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.