Active NPI
Cathy A Boppert, P.T.
- Physical Therapist
- San Diego, CA
National Provider Identifier
1467413310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT13485
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1985
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13485 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| PT13485 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT in Motion | Physical Therapy | Current | 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.
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- Escondido, CA
- NPI 1972229805
Physical Therapist
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.