Individual provider Active NPI

Lea L Thomann, DPT, ATC, EMT, CSCS

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1518119890
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3959 Ruffin Rd
Suite F
San Diego, CA 92123-1830
Phone
(858) 279-5570
Fax
(858) 279-5303
NPI assigned
Oct 17, 2008
Last updated
Jun 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

3959 Ruffin Rd
Suite F
San Diego, CA 92123-1830

Mailing address

1042 N El Camino Real
# B-351
Encinitas, CA 92024-1322
Phone (760) 918-9200

Other identifiers 1

IdentifierTypeStateIssuer
34852OtherCAPT LICENSE

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
Credentials
Emergency Medical Technician

State licenses

LicenseStateTypeSpecialty
34852CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab United Sports Medicine & Physical Therapy, Inc. Physical Therapist Past Accepting new patients
Rehab United Sports Medicine & Physical Therapy, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1518119890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 N EL CAMINO REAL",
            "address_2": "# B-351",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241322",
            "telephone_number": "760-918-9200",
            "fax_number": "760-918-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 RUFFIN RD",
            "address_2": "SUITE F",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231830",
            "telephone_number": "858-279-5570",
            "fax_number": "858-279-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMANN",
        "first_name": "LEA",
        "middle_name": "L",
        "credential": "DPT, ATC, EMT, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "34852",
            "state": "CA"
        }
    ],
    "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 Jun 21, 2016; 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.