Gwendolyn Alden, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT35685 Issued in CA

Practice address

1482 La Mirada Dr
San Marcos, CA 92078-2414

Phone

(619) 373-6100

NPI assigned

Sep 15, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthwest Physical Therapy IncGroup PAC ID 6608288196, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthwest Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • San Marcos, CA
  • NPI 1013524263

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1447583067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30138 DISNEY LN",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920841230",
            "telephone_number": "619-373-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1482 LA MIRADA DR",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782414",
            "telephone_number": "619-373-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDEN",
        "first_name": "GWENDOLYN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-15",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT35685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alberto Chavira M D a Medical Corp
• Albertsons LLC
• Albertsons LLC
• Leonardo Alcala
• Anthony J Alden
• Omar Alemi, PHARMD
• Wais Alemi, MD
• Nick Leonard Alesandrelli, DC
• Robert Frank Alessi, M.D.
• Alexander Nee DDS Inc

• Physical Therapist in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.