Active NPI
Alina F Petyn, P.T.
- Physical Therapist
- Carlsbad, CA
National Provider Identifier
1629315965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15799
- Practice address
- 1281 Carlsbad Village Dr
Carlsbad, CA 92008-1950 - Phone
- (760) 585-7720
- Fax
- (866) 496-5620
- NPI assigned
- Jan 7, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15799 | CA | Primary |
Addresses
Primary practice location
1281 Carlsbad Village Dr
Carlsbad, CA 92008-1950
Mailing address
1281 Carlsbad Village Dr
Carlsbad, CA 92008-1950
Phone (760) 585-7720
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15799 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363737600000",
"number": "1629315965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1281 CARLSBAD VILLAGE DR",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920081950",
"telephone_number": "760-585-7720",
"fax_number": "866-496-5620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1281 CARLSBAD VILLAGE DR",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920081950",
"telephone_number": "760-585-7720",
"fax_number": "866-496-5620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETYN",
"first_name": "ALINA",
"middle_name": "F",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-07",
"last_updated": "2013-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "15799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.