Active NPI
Aaron Ly
- Physical Therapist
- Oceanside, CA
National Provider Identifier
1508599820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 302064
- Practice address
- 2420 Vista Way Ste 215
Oceanside, CA 92054-6190 - Phone
- (442) 266-8089
- NPI assigned
- Jul 5, 2022
- 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 | 302064 | CA | Primary |
Addresses
Primary practice location
2420 Vista Way Ste 215
Oceanside, CA 92054-6190
Mailing address
4441 Mission Ave Apt A202
Oceanside, CA 92057-6792
Phone (408) 857-9984
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 |
|---|---|---|---|
| 302064 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656979200000",
"number": "1508599820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4441 MISSION AVE APT A202",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920576792",
"telephone_number": "408-857-9984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2420 VISTA WAY STE 215",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920546190",
"telephone_number": "442-266-8089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "AARON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-05",
"last_updated": "2022-07-05",
"certification_date": "2022-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "302064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.