Organization Active NPI

Neurolab 360

  • Physical Therapy Clinic/Center
  • Encinitas, CA
National Provider Identifier
1497502132
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
NEUROLAB 360
Practice address
2146 Encinitas Blvd Ste 110
Encinitas, CA 92024-4371
Phone
(760) 704-8237
NPI assigned
May 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Jessica Agrimis, PT, DPT, NCS, ATP
Title
President, Physical Therapist
Phone
(760) 704-8237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2146 Encinitas Blvd Ste 110
Encinitas, CA 92024-4371

Mailing address

2146 Encinitas Blvd Ste 110
Encinitas, CA 92024-4371

National Provider Directory

National Provider Directory

Locations

2146 Encinitas Blvd
Ste 110
Encinitas, CA 92024
Phone (760) 704-8237

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1497502132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2146 ENCINITAS BLVD STE 110",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2146 ENCINITAS BLVD STE 110",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244371",
            "telephone_number": "760-704-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLAB 360",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "AGRIMIS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PRESIDENT, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "760-704-8237",
        "authorized_official_credential": "PT, DPT, NCS, ATP"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.