Individual provider Active NPI

Delphine Roy

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1649681388
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
41260 Issued in CA
Practice address
3760 Convoy St Ste 204
San Diego, CA 92111-3744
Phone
(858) 514-0375
Fax
(858) 514-0383
NPI assigned
May 15, 2014
Last updated
May 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 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 41260 CA Primary

Addresses

Primary practice location

3760 Convoy St Ste 204
San Diego, CA 92111-3744

Mailing address

5341 Mount Ararat Dr
San Diego, CA 92111-2606
Phone (619) 665-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150529001274 CA Practitioner - Physical Therapist in Private Practice 1951621135 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41260CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Physical Therapy Inc. Physical Therapist CurrentSince May 1, 2023 Accepting new patients
Leona Geraghty Past Accepting new patients

Locations

2650 Truxtun Rd
Ste 202
San Diego, CA 92106

2751 Roosevelt Rd
Ste 203
San Diego, CA 92106
Phone (619) 501-9755

8996 Miramar Rd
Ste 315
San Diego, CA 92126
Phone (619) 818-6873

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1649681388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5341 MOUNT ARARAT DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112606",
            "telephone_number": "619-665-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 CONVOY ST STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113744",
            "telephone_number": "858-514-0375",
            "fax_number": "858-514-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "DELPHINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "41260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.