Active NPI
My Physio for Life
- Physical Therapist
- Oceanside, CA
National Provider Identifier
1457014896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MY PHYSIO FOR LIFE
- Practice address
- 3600 Ocean Ranch Blvd
Oceanside, CA 92056-2669 - Phone
- (760) 696-3373
- Fax
- (877) 559-5308
- NPI assigned
- Oct 21, 2021
- Last updated
- Oct 14, 2024
- 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
- Carolyn Bowe-McLeod
- Title
- Billing Manager
- Phone
- (760) 433-7944
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Physical Therapy Clinic/Center | 261QP2000X |
Addresses
Primary practice location
3600 Ocean Ranch Blvd
Oceanside, CA 92056-2669
Mailing address
3600 Ocean Ranch Blvd
Oceanside, CA 92056-2669
Phone (760) 696-3373
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT293401 | Other | CA | STATE LICENSE |
Other names 2
- Ilana Tunca, DPT
- Ilana Cartun, DPT
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3600 Ocean Ranch Blvd
Oceanside, CA 92056
Phone (760) 696-3373
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Oceanside, CA
- NPI 1003428772
-
- Physical Therapist
- Carlsbad, CA
- NPI 1679351209
-
- Physical Therapist
- Oceanside, CA
- NPI 1801378070
-
- Physical Therapist
- Oceanside, CA
- NPI 1366329542
-
- Physical Therapist
- Oceanside, CA
- NPI 1023535069
-
- Physical Therapist
- San Marcos, CA
- NPI 1912797358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728864000000",
"number": "1457014896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 OCEAN RANCH BLVD",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920562669",
"telephone_number": "760-696-3373",
"fax_number": "877-559-5308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 OCEAN RANCH BLVD",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920562669",
"telephone_number": "760-696-3373",
"fax_number": "877-559-5308"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY PHYSIO FOR LIFE",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-21",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A",
"authorized_official_last_name": "BOWE-MCLEOD",
"authorized_official_first_name": "CAROLYN",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "760-433-7944"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PT293401",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ilana Tunca, DPT",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Ilana Cartun, DPT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.