Active NPI
Nima Enayati, PT, DPT
- Physical Therapist
- San Diego, CA
National Provider Identifier
1578076097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 294009
- Practice address
- 10447 Roselle St Ste 1
San Diego, CA 92121-1559 - Phone
- (925) 577-3815
- NPI assigned
- Nov 6, 2017
- 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 | 294009 | CA | Primary |
Addresses
Primary practice location
10447 Roselle St Ste 1
San Diego, CA 92121-1559
Mailing address
10447 Roselle St Ste 1
San Diego, CA 92121-1559
Phone (925) 577-3815
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bewell Home Physical Therapy P C | Current | Accepting new patients |
Locations
1582 W San Marcos Blvd
Ste 105B
San Marcos, CA 92078
Phone (650) 452-4110
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- San Marcos, CA
- NPI 1831582592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1578076097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10447 ROSELLE ST STE 1",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921211559",
"telephone_number": "925-577-3815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10447 ROSELLE ST STE 1",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921211559",
"telephone_number": "925-577-3815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENAYATI",
"first_name": "NIMA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-06",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "294009",
"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 Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.