NPIMap

Organization Active NPI

Creamer Physical Therapy Inc.

  • Physical Therapist
  • La Jolla, CA
National Provider Identifier
1598817900
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT14588 Issued in CA
Legal business name
CREAMER PHYSICAL THERAPY INC.
Practice address
7946 Ivanhoe Ave
110
La Jolla, CA 92037-4516
Phone
(858) 551-8882
Fax
(858) 551-0593
NPI assigned
Jan 17, 2007
Last updated
Nov 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Authorized official

Name
Mrs. Gloria May Pritchett, P.T.
Title
P.T. - Owner
Phone
(858) 551-8882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT14588 CA Primary

Addresses

Primary practice location

7946 Ivanhoe Ave
110
La Jolla, CA 92037-4516

Mailing address

7946 Ivanhoe Ave
110
La Jolla, CA 92037-4516
Phone (858) 551-8882

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120720000394 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4385800275 Receives reassigned benefits from 6 practitioners
Practice locations: La Jolla, CA

National Provider Directory

National Provider Directory

Locations

7946 Ivanhoe Ave
Ste 110
La Jolla, CA 92037
Phone (858) 551-8882

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1598817900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7946 IVANHOE AVE",
            "address_2": "110",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374516",
            "telephone_number": "858-551-8882",
            "fax_number": "858-551-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7946 IVANHOE AVE",
            "address_2": "110",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374516",
            "telephone_number": "858-551-8882",
            "fax_number": "858-551-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREAMER PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "PRITCHETT",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "MAY",
        "authorized_official_title_or_position": "P.T.   -  OWNER",
        "authorized_official_telephone_number": "858-551-8882",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT14588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.

Verify at the official NPI Registry.