Individual provider Active NPI

Tracey Jane Dempsey, BSC(HONS)PHYSIOTHERA

  • Physical Therapist
  • Oceanside, CA
National Provider Identifier
1457417651
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28259 Issued in CA
Practice address
724 Sugar Pine St
Oceanside, CA 92054-1656
Phone
(760) 644-3565
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 28259 CA Primary

Addresses

Primary practice location

724 Sugar Pine St
Oceanside, CA 92054-1656

Mailing address

724 Sugar Pine St
Oceanside, CA 92054-1656
Phone (760) 644-3565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28259CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physicaltherapy@Home Physical Therapist PastSince Jan 1, 1990 Accepting new patients
In-Home Physical Therapy PC PastSince Jan 1, 2014 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1457417651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 SUGAR PINE ST",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920541656",
            "telephone_number": "760-644-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 SUGAR PINE ST",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920541656",
            "telephone_number": "760-644-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMPSEY",
        "first_name": "TRACEY",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "BSC(HONS)PHYSIOTHERA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "28259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 12, 2007; 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.