Tibbetts East-West Therapy Center,Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

TIBBETTS EAST-WEST THERAPY CENTER,INC

Practice address

4956 Waring Rd
Ste a
San Diego, CA 92120-2732

Phone

(619) 618-5780

NPI assigned

Sep 17, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Julie M Tibbetts, DPT

Title

President

Phone

(619) 618-5780

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619200912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4956 WARING RD",
            "address_2": "STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921202732",
            "telephone_number": "619-618-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4956 WARING RD",
            "address_2": "STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921202732",
            "telephone_number": "619-618-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIBBETTS EAST-WEST THERAPY CENTER,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-17",
        "last_updated": "2022-07-21",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "TIBBETTS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-618-5780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://jane.app",
            "affiliation": "N",
            "endpointDescription": "Practice management system",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4956 Waring Rd",
            "address_2": "Ste A",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921202732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gladvin Murphy Thyagaraj, DDS
• Linda Thyberg
• Jade Maria Tiaba
• Maria Lourdes Agustin Tiamson-Kassab, M.D.
• Michele Tiana
• Julie M Tibbetts, DPT, PT, L.AC, LMT
• Donald Marc Tibbils, PTA
• Jenna Lauren Tibbitts
• Conor William Tibbs, PA-C
• Jessica Anne Tiber, MD

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.