Empower Physical Therapy Inc

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

EMPOWER PHYSICAL THERAPY INC

Doing business as

Empower Physical Therapy

Practice address

16776 Bernardo Center Dr Ste 204a
San Diego, CA 92128-2559

Phone

(858) 361-8782

Fax

(844) 440-1873

NPI assigned

Sep 21, 2022

Last updated

Oct 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ivy Colbert, DPTNPI 1679015994

Title

Practice Owner / Ceo

Phone

(858) 729-3338

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Empower Physical Therapy Doing business as

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ivy Grace Colbert, D.P.T.

  • Physical Therapist
  • Escondido, CA
  • NPI 1679015994
  NPD Authorized official
• Marisa Angelina Hackathorn, PT, DPT

  • Physical Therapist
  • San Diego, CA
  • NPI 1427932110
  NPD

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1548983901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11060 AVENIDA DEL GATO",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921261711",
            "telephone_number": "858-729-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16776 BERNARDO CENTER DR STE 204A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282559",
            "telephone_number": "858-361-8782",
            "fax_number": "844-440-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "IVY",
        "authorized_official_title_or_position": "PRACTICE OWNER / CEO",
        "authorized_official_telephone_number": "858-729-3338",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1568014603",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1679015994",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1437514452",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@empowerphysicaltherapy.net",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "16776 Bernardo Center Dr Ste 204A",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921282559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Empower Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Empower Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Charles Emrhein, CADC-CAS

• Orthopedic Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.

Verify at the official NPI Registry.