Organization Active NPI

Centerstone Physical Therapy Inc.

  • Physical Therapist
  • Encinitas, CA
National Provider Identifier
1578167771
Registry record updated Nov 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CENTERSTONE PHYSICAL THERAPY INC.
Practice address
543 Encinitas Blvd Ste 107
Encinitas, CA 92024-3744
Phone
(805) 458-3063
NPI assigned
Nov 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2020

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

Authorized official

Name
Sloane Roeser, DPTNPI 1689217606
Title
Doctor of Physical Therapy
Phone
(805) 458-3063

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

543 Encinitas Blvd Ste 107
Encinitas, CA 92024-3744

Mailing address

126 Mangano Cir
Encinitas, CA 92024-2736
Phone (805) 458-3063

National Provider Directory

National Provider Directory

Locations

543 Encinitas Blvd
Ste 107
Encinitas, CA 92024
Phone (714) 733-9233

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606521600000",
    "number": "1578167771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 MANGANO CIR",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242736",
            "telephone_number": "805-458-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 ENCINITAS BLVD STE 107",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243744",
            "telephone_number": "805-458-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERSTONE PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-28",
        "last_updated": "2020-11-28",
        "certification_date": "2020-11-28",
        "status": "A",
        "authorized_official_last_name": "ROESER",
        "authorized_official_first_name": "SLOANE",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "805-458-3063",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2020; 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.