Individual provider Active NPI

Sandra Louise O'Brien, P.T.

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1679726731
Registry record updated Nov 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10126 Issued in CA
Practice address
3741 Wawona Dr
San Diego, CA 92107-2725
Phone
(619) 508-7038
Fax
(619) 677-3331
NPI assigned
Nov 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2008

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 10126 CA Primary

Addresses

Primary practice location

3741 Wawona Dr
San Diego, CA 92107-2725

Mailing address

2726 Shelter Island Dr
#407
San Diego, CA 92106-2731
Phone (619) 508-7038

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

NPI Registry JSON

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

{
    "created_epoch": "1225584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225584000000",
    "number": "1679726731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2726 SHELTER ISLAND DR",
            "address_2": "#407",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062731",
            "telephone_number": "619-508-7038",
            "fax_number": "619-677-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3741 WAWONA DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921072725",
            "telephone_number": "619-508-7038",
            "fax_number": "619-677-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "SANDRA",
        "middle_name": "LOUISE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-02",
        "last_updated": "2008-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "10126",
            "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 Nov 2, 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.