Individual provider Active NPI

Alyn Zamudio, PT, MPT

  • Physical Therapist
  • Chula Vista, CA
National Provider Identifier
1609200807
Registry record updated Jul 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
39144 Issued in CA
Practice address
690 Otay Lakes Rd Ste 200
Chula Vista, CA 91910-8904
Phone
(619) 475-6910
NPI assigned
Aug 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2014

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 39144 CA Primary

Addresses

Primary practice location

690 Otay Lakes Rd Ste 200
Chula Vista, CA 91910-8904

Mailing address

1058 Lost Valley CT
Chula Vista, CA 91913-1612
Phone (619) 339-1352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1377388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1609200807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 LOST VALLEY CT",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919131612",
            "telephone_number": "619-339-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 OTAY LAKES RD STE 200",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919108904",
            "telephone_number": "619-475-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMUDIO",
        "first_name": "ALYN",
        "credential": "PT, MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-25",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "39144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; 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.