Organization Active NPI

Kaufman Physical Therapy Inc

  • Clinical Electrophysiology Physical Therapist
  • Escondido, CA
National Provider Identifier
1619968005
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X
License
EN8 Issued in CA
Legal business name
KAUFMAN PHYSICAL THERAPY INC
Doing business as
Neurotrace
Practice address
1318 Mountain Park Place
Escondido, CA 92027
Phone
(760) 738-8811
Fax
(760) 738-8886
NPI assigned
Nov 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Authorized official

Name
Mr. Gerald Kaufman, MA PT
Title
Ceo
Phone
(760) 738-8811

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X
Clinical Electrophysiology Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251E1300X EN8 CA Primary

Addresses

Primary practice location

1318 Mountain Park Place
Escondido, CA 92027

Mailing address

PO Box 268
Escondido, CA 92033-0268
Phone (760) 738-8811

Other names 1

  • Neurotrace Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1619968005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920330268",
            "telephone_number": "760-738-8811",
            "fax_number": "760-738-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 MOUNTAIN PARK PLACE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "92027",
            "telephone_number": "760-738-8811",
            "fax_number": "760-738-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAUFMAN PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-738-8811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "CA",
            "license": "EN8",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurotrace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.