Patricia Ann La Bouff, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 7949 Issued in CA

Practice address

4350 Mount Everest Blvd
Wiggin Center, B-11
San Diego, CA 92117-4847

Phone

(858) 573-5972

Fax

(858) 573-5985

NPI assigned

May 31, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477755783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8584 FANITA DR",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920714019",
            "telephone_number": "619-807-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 MOUNT EVEREST BLVD",
            "address_2": "WIGGIN CENTER, B-11",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174847",
            "telephone_number": "858-573-5972",
            "fax_number": "858-573-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA BOUFF",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 7949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• L. Ferguson Chiropractic Inc. (Back Pain Relief Chiropractic)
• Toni L'Ecluse, SLP
• Heidi La Bash, PHD
• Danielle La Belle
• Jennifer Michelle La Blanc, MFT INTERN
• La Class Transportation LLC
• Rachel La Costa, PA-C
• Scott La Falce, ATC
• Chloe La Fave
• Brittany La Flam

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.