Individual provider Active NPI

Cathy A Boppert, P.T.

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1467413310
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT13485 Issued in CA
Practice address
3849 Shasta St
# 9
San Diego, CA 92109-6536
Phone
(858) 692-6469
NPI assigned
Mar 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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 PT13485 CA Primary

Addresses

Primary practice location

3849 Shasta St
# 9
San Diego, CA 92109-6536

Mailing address

3849 Shasta St
# 9
San Diego, CA 92109-6536
Phone (858) 692-6469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040129000725 CA Practitioner - Physical Therapist in Private Practice 1153224993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
May accept Medicare assignment
Group practices
PT in MotionGroup PAC ID 7315997285, 7 clinicians

Practice addresses (Care Compare)

5473 Kearny Villa Rd
Suite 100
San Diego, CA 92123-1160
Phone (858) 565-6910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13485CAMDAddiction (Substance Use Disorder) Counselor
PT13485CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT in Motion Physical Therapy CurrentSince Sep 1, 2025 Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients

Locations

690 Otay Lakes Rd
Ste 110
Chula Vista, CA 91910
Phone (619) 421-0444

5473 Kearny Villa Rd
Ste 100
San Diego, CA 92123
Phone (858) 565-6910

Organizations & group practices 3

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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1467413310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3849 SHASTA ST",
            "address_2": "# 9",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921096536",
            "telephone_number": "858-692-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3849 SHASTA ST",
            "address_2": "# 9",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921096536",
            "telephone_number": "858-692-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOPPERT",
        "first_name": "CATHY",
        "middle_name": "A",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT13485",
            "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 Sep 8, 2016; 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.