NPIMap

Organization Active NPI

MKC Physical Therapy Inc

Doing business as Advanced Physiotherapy

  • Physical Therapist
  • El Cajon, CA
National Provider Identifier
1609117829
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MKC PHYSICAL THERAPY INC
Doing business as
Advanced Physiotherapy
Practice address
860 Jamacha Rd
Suite 203
El Cajon, CA 92019-6206
Phone
(619) 573-6373
Fax
(619) 378-6578
NPI assigned
Mar 13, 2013
Last updated
Aug 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Authorized official

Name
Matthew Cazalas
Title
Office Manager
Phone
(619) 573-6373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

860 Jamacha Rd
Suite 203
El Cajon, CA 92019-6206

Mailing address

PO Box 2736
Spring Valley, CA 91979-2736
Phone (619) 573-6373

Other names 1

  • Advanced Physiotherapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140204001987 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6800024720 Receives reassigned benefits from 7 practitioners
Practice locations: Chula Vista, CA; El Cajon, CA; Poway, CA; San Diego, CA

National Provider Directory

National Provider Directory

Locations

1310 Third Ave
Ste A4
Chula Vista, CA 91911
Phone (619) 420-0869

860 Jamacha Rd
Ste 203
El Cajon, CA 92019
Phone (619) 573-6373

15835 Pomerado Rd
Ste 101
Poway, CA 92064
Phone (858) 312-6444

4733 Clairemont Dr
#F
San Diego, CA 92117
Phone (619) 615-1500

4733 Clairemont Dr
Ste 57F
San Diego, CA 92117

9333 Genesee Ave
Ste 350B
San Diego, CA 92121
Phone (619) 254-5239

Practitioners & affiliated clinicians

Practitioners 12

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": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1609117829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2736",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919792736",
            "telephone_number": "619-573-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 JAMACHA RD",
            "address_2": "SUITE 203",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920196206",
            "telephone_number": "619-573-6373",
            "fax_number": "619-378-6578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MKC PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "CAZALAS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "619-573-6373"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Physiotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.

Verify at the official NPI Registry.