North County & Escondido Physical Therapy Inc
Organization Active NPI Physical Therapist · Escondido, CA
NPI 1497715783 · NPPES record last updated Nov 28, 2017
Key facts
- NPI
- 1497715783
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- NORTH COUNTY & ESCONDIDO PHYSICAL THERAPY INC
- Practice address
- 457 N Elm St
Escondido, CA 92025 - Phone
- (760) 489-1969
- Fax
- (760) 489-5226
- NPI assigned
- Mar 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Ronald Thomas Masterson, PT
- Title
- Physical Therapist Co Owner
- Phone
- (760) 489-1969
Practitioners 14
-
West Esterle, DPT
-
Skye Lance Grayson, DPT
-
Kara Simons, DPT, PT
-
Malachi Votaw, PT, DPT
-
Franjo Vukojevic, PT, DPT
-
Julia Kathryn Denboer Whitehead, PT DPT
-
Prabhav Vaidya, DPT
-
Cyan Agena, PT, DPT
-
Julianna Chow, DPT
-
Emily Claire Gremett, PT, DPT
-
Theo Perez, PT, DPT
-
Jason Shaver, PT
-
Erin Keeler Tinker, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050627001437 | CA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 6800831009 |
Receives reassigned benefits from 14 practitioners Practice locations: Escondido, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
457 N Elm St
Escondido, CA 92025
Mailing address
457 N Elm St
Escondido, CA 92025
Phone (760) 489-1969
Other providers in Escondido, CA
- Rebecca Noriega
- Yolanda Noriega
- Carl A Norman
- Eugene Norman
- Sara Normani
- North County Endocrine Medical Group
- North County Health Project Inc
- North County Health Project Inc
- North County Hearing, LLC
- North County Neurology Associates Medical Group
All providers in Escondido, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.