Individual provider Active NPI

Ali Tebbs, DPT, PT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1619355153
Registry record updated May 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT42092 Issued in CA
Practice address
1281 9TH Ave
Unit 2012
San Diego, CA 92101-4633
Phone
(706) 405-0705
NPI assigned
May 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT42092 CA Primary
Physical Therapist 225100000X PT0116016 GA

Addresses

Primary practice location

1281 9TH Ave
Unit 2012
San Diego, CA 92101-4633

Mailing address

1281 9TH Ave
Unit 2012
San Diego, CA 92101-4633
Phone (706) 405-0705

Other names 1

  • Ali Rieger Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT42092CAMDPhysical Therapist
PT0116016GAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1431820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431820800000",
    "number": "1619355153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 9TH AVE",
            "address_2": "UNIT 2012",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921014633",
            "telephone_number": "706-405-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 9TH AVE",
            "address_2": "UNIT 2012",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921014633",
            "telephone_number": "706-405-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEBBS",
        "first_name": "ALI",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-17",
        "last_updated": "2015-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT42092",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT0116016",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALI",
            "last_name": "RIEGER",
            "credential": "DPT, PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2015; 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.