Individual provider Active NPI

Beth Ann Scalone, DPT, OCS

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1568487296
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18321 Issued in CA
Practice address
12171 World Trade Dr
San Diego, CA 92128-3709
Phone
(858) 674-4480
Fax
(858) 674-0769
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 18321 CA Primary

Addresses

Primary practice location

12171 World Trade Dr
San Diego, CA 92128-3709

Mailing address

12171 World Trade Dr
San Diego, CA 92128-3709
Phone (858) 674-4480

Other identifiers 1

IdentifierTypeStateIssuer
18321OtherCACA PHYSICAL THERAPY LIC#

Other names 1

  • Miss Beth Ann Stetson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040807000263 CA Practitioner - Physical Therapist in Private Practice 2961474309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beth Scalone PT IncGroup PAC ID 6608848049, 7 clinicians

Practice addresses (Care Compare)

12171 World Trade Dr
San Diego, CA 92128-3709
Phone (858) 675-1133

15373 Innovation Dr
Suite 175
San Diego, CA 92128-3427
Phone (858) 675-1133

2657 Ariane Dr
San Diego, CA 92117-3422
Phone (858) 675-1133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Scalone PT, Inc Physical Therapist CurrentSince Sep 18, 2001 Accepting new patients
Fit Athletic CMR LLC Past Accepting new patients

Locations

2657 Ariane Dr
San Diego, CA 92117
Phone (619) 453-0953

15373 Innovation Dr
Ste 175
San Diego, CA 92128
Phone (858) 675-1133

12171 World Trade Dr
San Diego, CA 92128
Phone (858) 217-2137

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568487296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12171 WORLD TRADE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283709",
            "telephone_number": "858-674-4480",
            "fax_number": "858-674-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12171 WORLD TRADE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283709",
            "telephone_number": "858-674-4480",
            "fax_number": "858-674-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALONE",
        "first_name": "BETH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "18321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA PHYSICAL THERAPY LIC#",
            "identifier": "18321",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "STETSON",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.