Active NPI
Boaz Ritblatt, DPT
- Physical Therapist
- San Diego, CA
National Provider Identifier
1508144635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 37962
- Practice address
- 8929 University Center LN
Suite 200
San Diego, CA 92122-1006 - Phone
- (858) 457-3545
- Fax
- (858) 457-0976
- NPI assigned
- Jul 22, 2011
- Sex
- Male
- Sole proprietor
- No
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 | PT 37962 | CA | Primary |
Addresses
Primary practice location
8929 University Center LN
Suite 200
San Diego, CA 92122-1006
Mailing address
8929 University Center LN
Suite 200
San Diego, CA 92122-1006
Phone (858) 457-3545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 37962 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322611200000",
"number": "1508144635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8929 UNIVERSITY CENTER LN",
"address_2": "SUITE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921221006",
"telephone_number": "858-457-3545",
"fax_number": "858-457-0976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8929 UNIVERSITY CENTER LN",
"address_2": "SUITE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921221006",
"telephone_number": "858-457-3545",
"fax_number": "858-457-0976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RITBLATT",
"first_name": "BOAZ",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-22",
"last_updated": "2011-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 37962",
"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 Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.